Controlled nail trephination for subungual hematoma - 17/08/11

Abstract |
An injury to a finger or toe can result in a collection of blood under the nail plate that if unrelieved can cause extreme discomfort due to pressure. In this case, a 47-year-old man developed a subungual hematoma of the right thumb due to a crush injury. Controlled nail trephination was performed using a uniquely designed drill that penetrated the nail plate without breaching the nail bed. The subungual hematoma was successfully drained, and there was a substantial relief in pain over the subsequent 8 hours. This technique appears to be a quick and convenient method of evacuating subungual hematomas with minimal discomfort and minimal risk.
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| ☆ | Although we have not received funding for this case report, we have previously done studies for Path Scientific (Carlisle, Mass), the company that developed the PathFormer (the device used in this case report). Thiruvallur R. Gowrishankar, one of the authors of this case report, is an employee of Path Scientific. |
Vol 24 - N° 7
P. 875-877 - novembre 2006 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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