Fingertip injuries are the most common injury to the hand.

The nail represents a unique structure in the human body providing in fine pinch, stability and protection. Management of fingertip injuries can often be a challenging experience, especially in presence of complex lesion that include soft tissue loss and distal phalanx injury.

In this review we present a variety of options in caring for these injuries to help achieve and avoid the sequels. The goal of treatment is restoration of a painless, functional digit with protective sensation.