The management of the acute traumatic subungual haematoma: a systematic review

Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand
Benjamin DeanChristopher Little

Abstract

There is no consensus regarding the optimal mode of managing the acute traumatic subungual haematoma in the hand. In this context the medical literature was searched systematically and the results analysed. The final dataset consisted of four articles. The complication rates of all forms of treatment were low. The outcome in terms of nail cosmesis was generally good, although the method of outcome measurement was variable in nature. There was no difference in cosmetic outcome when comparing nail bed repair with simple decompression. In conclusion the outcome in terms of nail cosmesis does not appear to be affected by the mode of treatment. The acutely painful subungual haematoma should be decompressed, whether this be done by trephining or nail removal. Future research includes the potential for a randomised controlled trial to compare nail bed repair with trephination.

References

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Jul 1, 1987·The American Journal of Emergency Medicine·R R Simon, M Wolgin
Mar 1, 1984·The Journal of Hand Surgery·E G ZookR C Russell
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Dec 10, 1999·The Journal of Hand Surgery·S E Roser, H Gellman
Mar 21, 1964·British Medical Journal·G H FARRINGTON

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Citations

Jul 7, 2007·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·L PegoliG Pajardi
Dec 9, 2015·The American Journal of Emergency Medicine·Joseph A GilP Kaveh Mansuripur
Jul 1, 2016·The American Journal of Emergency Medicine·Faruk GungorMehmet Akcimen
Oct 27, 2017·BMJ Case Reports·Nihull Jakharia-ShahMahendra Kulkarni
Mar 22, 2014·Sports Medicine and Arthroscopy Review·Noah D Shaftel, John T Capo
Nov 29, 2017·Annals of the Royal College of Surgeons of England·T RichardsD Newington
Feb 26, 2020·Plastic and Reconstructive Surgery. Global Open·Ashwin VenkateshAina Greig
Nov 18, 2020·Hand Clinics·Matthew E WellsJohn C Dunn
Apr 24, 2021·Plastic and Reconstructive Surgery·Nishant Ganesh Kumar, Kevin C Chung

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