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Pseudofracture: An Acute Peripheral Tissue Trauma Model
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Approach to nail trauma for primary care physicians
Ann-Sophie Lafreniere1, Griffins Misati2, Aaron Knox3
1Plastic surgery resident, University of Calgary in Alberta.
Canadian Family Physician Medecin De Famille Canadien
|September 13, 2023
Summary
Primary care physicians can effectively manage common nail bed injuries with prompt diagnosis and treatment. Proper evaluation and intervention prevent long-term functional and cosmetic issues in fingernail trauma.
Area of Science:
- Orthopedics
- Primary Care Medicine
- Traumatology
Background:
- Nail trauma is a frequent occurrence in primary care settings.
- Untreated nail injuries can lead to significant functional deficits and cosmetic concerns.
Purpose of the Study:
- To outline an approach for primary care practitioners managing common nail bed injuries.
- To provide guidance on the evaluation and treatment of fingernail trauma.
Main Methods:
- A literature search was conducted using Ovid MEDLINE.
- Studies were evaluated based on their level of evidence.
Main Results:
- Nail bed injuries encompass subungual hematomas, distal phalanx fractures, Seymour fractures, and nail bed avulsions.
- Treatment varies: intact nail plates with subungual hematomas may not need exploration, while nail plate injuries or matrix involvement necessitate exploration and repair.
- A thorough physical and neurovascular examination is crucial for assessing injury extent.
Conclusions:
- Primary care physicians are equipped to manage most nail trauma cases.
- Management decisions should be collaborative, considering injury mechanism and extent to prevent deformities.
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