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Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
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Subungual Hematoma.

Anitej Akella1, Anjali R Daniel2, Murdoc B Gould3

  • 1Biomedical Sciences, University of Central Florida College of Medicine, Orlando, USA.

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|December 19, 2023
PubMed
Summary
This summary is machine-generated.

A large subungual hematoma in the foot was successfully drained using trephination, resolving the patient's pain. Follow-up confirmed no complications, highlighting effective management of this common foot trauma.

Keywords:
distal phalanx fracturefoot traumanail bed traumasubungual hematomatrephination

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Area of Science:

  • Emergency Medicine
  • Trauma Surgery

Background:

  • Subungual hematoma is a common injury resulting from direct trauma to the nail bed.
  • Prompt management is crucial to alleviate pain and prevent complications such as nail dystrophy.

Observation:

  • A 64-year-old male presented with acute foot trauma and a significant subungual hematoma.
  • The patient experienced severe pain due to the pressure of the accumulated blood beneath the nail.

Findings:

  • Trephination, a minimally invasive procedure, was performed to evacuate the subungual hematoma.
  • The patient reported immediate and complete resolution of pain post-procedure.

Implications:

  • Trephination is an effective and safe treatment for symptomatic subungual hematomas.
  • Early intervention can prevent long-term complications and improve patient outcomes in foot trauma cases.