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أ.د. زهير بن أحمد العسيري

Professor

أستاذ دكتور واستشاري طب الطوارئ وطب العناية المركزة

كلية الطب
جامعة الملك سعود, المدينة الطبية، مستشفى الملك خالد الجامعي, طب الطوارئ
publication
Journal Article
2017

Conservative Treatment for Subungal Hematoma with Tuft Fracture.

aseri, zohair al . 2017

Management of simple nail bed lacerations and subungual hematomas has remained somewhat controversial. This article presents a 30-year-old case admitted to emergency department (ED) due to subungual hematoma with tuft fracture. The nail was partially loose, and the nail bed seemed more or the less intact. Rest of hand examination was normal. Plain radiographs showed fracture of the distal phalanx. Decision was made not to remove the nail bed and only to release the pressure by trephine technique under sterile condition. The patient was scheduled for ED follow up appointment after one week. During follow-up no complications were encountered. The nail bed recovered completely and the nail plate seemed to develop without any deformities. Eight months after the ED visit there are no complaints about pain, shape or loss of function during daily activities. Since there are no agreed upon protocol or algorithm for subungual hematoma and distal phalanx fracture, the author believe that conservative treatment is s 

 

Publication Work Type
case report
Volume Number
4
Issue Number
1
Magazine \ Newspaper
SOJ Surgery
Pages
1-2
more of publication
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Published in:
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Published in:
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