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Fingertip Injuries: A Review and Update on Management.

Brandon J De Ruiter¹, Michael J Finnan, Erin A Miller

¹From the Department of Surgery, Division of Plastic Surgery, University of Washington, Seattle, WA.

The Journal of the American Academy of Orthopaedic Surgeons

|November 27, 2024

Summary

This summary is machine-generated.

Effective management of common fingertip injuries focuses on soft-tissue coverage, preserving function and appearance, and minimizing pain. Prompt diagnosis and appropriate treatment, including non-operative or operative care for bony injuries and tailored approaches for nail bed and soft-tissue defects, lead to good outcomes.

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Area of Science:

Orthopedic Surgery
Emergency Medicine
Hand Surgery

Background:

Fingertip injuries are frequent emergency department presentations.
Management requires addressing soft-tissue coverage, functional length, nail integrity, and pain.
These injuries present unique challenges in achieving optimal patient outcomes.

Purpose of the Study:

To review the management principles for various fingertip injuries.
To outline treatment strategies for bony, nail bed, and soft-tissue injuries.
To emphasize achieving functional and aesthetic restoration.

Main Methods:

Review of current literature and clinical guidelines for fingertip injury management.
Discussion of non-operative and operative indications for bony injuries.
Description of techniques for nail bed repair and soft-tissue reconstruction (secondary intention, grafts, flaps).

Main Results:

Most bony fingertip injuries are managed non-operatively, with exceptions for specific fracture types.
Nail bed injuries require management ranging from simple trephination to formal repair.
Soft-tissue coverage options are tiered, utilizing local or regional reconstructive methods.
Successful outcomes are achievable with appropriate, individualized treatment plans.

Conclusions:

A systematic approach to fingertip injuries ensures optimal functional and aesthetic results.
Early and accurate diagnosis guides the selection of appropriate management strategies.
Multidisciplinary care, considering all aspects of the injury, is crucial for patient recovery.