When should I drain my nail hematoma?

Subungual hematoma drainage is indicated whenever it implies pain or concerns more than 50% of the nail, or more than 25% with an associated fracture (1). Studies have shown that trephination has the same efficacy as complete removal of the nail.

Should I drain pus from paronychia?

Drains are not necessary. Warm-water soaks four times a day for 15 minutes should be performed to keep the wound open. Between soakings, an adhesive bandage can protect the nail area. Antibiotic therapy is usually not necessary.

How long after injury can you drain subungual hematoma?

A minor subungual hematoma usually heals over time without treatment. The trapped blood will eventually be reabsorbed, and the dark mark will disappear. This can take 2–3 months for a fingernail, and up to 9 months for a toenail.

How do you treat an injured nail bed?

Treatment of nail bed injuries

1. removing all jewelry.
2. washing the injured area gently with fragrance-free soap.
3. bandaging the injury gently, if there is an open wound.
4. applying an ice pack for about 20 minutes at a time.
5. elevating the injured hand or foot.
6. applying gentle compression to reduce any throbbing.

What kind of injury is a nail bed injury?

Nail bed injuries are the result of direct trauma to the fingertip and can be characterized into subungual hematoma, nail bed laceration and nail bed avulsion. Diagnosis is made by careful inspection of the nail bed integrity.

Can a finger be removed from a nail bed injury?

Finger fractures are also common with this type of injury. If you have a nail bed avulsion, your nail will have to be removed if it hasn’t come off during the injury. There are also nail bed injuries that affect more than your nail bed, such as a fingertip fracture or amputation.

Can a broken nail bed lead to a split nail?

For example, your nail should return to normal after a subungual hematoma is drained. However, some severe injuries can lead to a deformed nail. This is more likely when the base of your nail bed is injured. The most common complications of nail bed injuries are hook nail and a split nail.

Do you need a splint for a nail bed injury?

For nail bed avulsions. This injury requires removing your nail. If you also have a finger fracture, it will need to be splinted. You might need a splint for up to three weeks, depending on the seriousness of the injury.