{"id":48,"date":"2015-12-03T23:28:21","date_gmt":"2015-12-03T23:28:21","guid":{"rendered":"http:\/\/brooksidepress.org\/surgery\/?page_id=48"},"modified":"2023-08-20T20:39:37","modified_gmt":"2023-08-20T20:39:37","slug":"1-06-subungual-hematoma","status":"publish","type":"page","link":"https:\/\/brooksidepress.org\/surgery\/?page_id=48","title":{"rendered":"1-06. SUBUNGUAL HEMATOMA"},"content":{"rendered":"<p>a. <strong>General Considerations<\/strong>. A subungual hematoma is a collection of blood\u00a0outside the blood vessels (hematoma) in which the blood is located beneath the nail of\u00a0a toe or finger.<\/p>\n<p>This is a common type of fingertip crush injury, such as when the patient\u00a0catches his finger in a door. This type of injury may be associated with soft tissue injury\u00a0and fracture of the fingertip.<\/p>\n<p>The most common complaint is pain. Treatment, if\u00a0needed, is drainage of the hematoma. Treatment does not require anesthesia and\u00a0usually produces relief from pain.<\/p>\n<figure id=\"attachment_313\" aria-describedby=\"caption-attachment-313\" style=\"width: 768px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/brooksidepress.org\/surgery\/wp-content\/uploads\/2022\/08\/Subungal_hematoma_of_the_finger.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-313\" src=\"https:\/\/brooksidepress.org\/surgery\/wp-content\/uploads\/2022\/08\/Subungal_hematoma_of_the_finger.jpeg\" alt=\"\" width=\"768\" height=\"1024\" title=\"\" srcset=\"https:\/\/brooksidepress.org\/surgery\/wp-content\/uploads\/2022\/08\/Subungal_hematoma_of_the_finger.jpeg 768w, https:\/\/brooksidepress.org\/surgery\/wp-content\/uploads\/2022\/08\/Subungal_hematoma_of_the_finger-225x300.jpeg 225w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/a><figcaption id=\"caption-attachment-313\" class=\"wp-caption-text\">Subungal Hematoma of the Finger. Callaleo, CC BY-SA 4.0 &lt;https:\/\/creativecommons.org\/licenses\/by-sa\/4.0&gt;, via Wikimedia Commons<\/figcaption><\/figure>\n<p>b. <strong>Treatment of Subungual Hematoma<\/strong>. Treat subungual hematoma using the\u00a0steps given below.<\/p>\n<p style=\"padding-left: 30px;\">(1) Obtain x-rays of the fingertip to rule out fracture.<\/p>\n<p style=\"padding-left: 30px;\">(2) Make a hole through the nail over the hematoma. To do this, you may\u00a0use a paper clip heated with a match or a hot tip of a disposable cautery unit. You may\u00a0also make a window with a #11 scalpel blade.<\/p>\n<p style=\"padding-left: 30px;\">(3) Drain the hematoma within the first few hours after the injury has\u00a0occurred. If drainage is delayed 24 hours or more, the attempt to drain the hematoma\u00a0will be useless because the hematoma will have solidified.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>a. General Considerations. A subungual hematoma is a collection of blood\u00a0outside the blood vessels (hematoma) in which the blood is located beneath the nail of\u00a0a toe or finger. This is a common type of fingertip crush injury, such as when the patient\u00a0catches his finger in a door. This type of injury may be associated with &hellip; <a href=\"https:\/\/brooksidepress.org\/surgery\/?page_id=48\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">1-06. SUBUNGUAL HEMATOMA<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":26,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-48","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/brooksidepress.org\/surgery\/index.php?rest_route=\/wp\/v2\/pages\/48","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/brooksidepress.org\/surgery\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/brooksidepress.org\/surgery\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/surgery\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/surgery\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=48"}],"version-history":[{"count":4,"href":"https:\/\/brooksidepress.org\/surgery\/index.php?rest_route=\/wp\/v2\/pages\/48\/revisions"}],"predecessor-version":[{"id":339,"href":"https:\/\/brooksidepress.org\/surgery\/index.php?rest_route=\/wp\/v2\/pages\/48\/revisions\/339"}],"up":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/surgery\/index.php?rest_route=\/wp\/v2\/pages\/26"}],"wp:attachment":[{"href":"https:\/\/brooksidepress.org\/surgery\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=48"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}