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Current recommendations for drainage of acute (less than 48 hours) subungual hematomas advocate for trephination, a procedure where a hole is made in the nail to drain the hematoma. Previous recommendations were to remove the nail for any hematoma greater than 50% of the nail or greater than 25% of the nail in the presence of a fracture.

Subungual hematomas may be simple (ie, the nail and nail fold are intact) or accompanied by significant injuries to the nail fold and digit (eg, fingertip avulsion) . Trephination of a subungual hematoma consists of placing one or more holes in the nail to permit drainage of blood.

A small subungual hematoma may not need medical treatment. Ice and elevate the area to reduce swelling, and take over-the-counter anti-inflammatories like aspirin , Advil , or Motrin for minor pain.

A subungual hematoma is a bruised fingernail or toenail that develops after sudden trauma to your nail — like hitting your fingertip with a hammer or dropping a brick on your toe. A simple drainage procedure can ease your pain and support healing. But you should never attempt subungual hematoma drainage at home. Seek medical care.

Subungual hematoma, or bleeding under the nail, can cause discoloration, pressure, and pain. If you see your healthcare provider within 48 hours, it can be drained to relieve pressure. If you have other symptoms suggesting a fracture, you experience pain, or the discoloration appears without a known cause, always see your healthcare provider.

Healthcare providers recommend draining subungual hematomas if they cause significant pain or occupy 50% or more of the nail’s area. In cases where there's a fracture, drainage is advisable if the hematoma covers 25% or more of the nail. For optimal results, it's crucial to see a doctor within the first 48 hours post-injury, as blood starts ...

Subungual hematoma drainage can reduce pressure and pain. If there is a fracture, the doctor may perform trephination even if the hematoma only covers 25% of the nail bed. After drainage, do not soak the affected finger or toe in water. This increases the chance of bacteria getting into the hole in the nail.

A subungual hematoma is a collection of blood in the space between the nail bed and fingernail or toenail. Subungual hematomas result from a direct injury to the blood vessels under the fingernail or toenail. The pressure generated by this collection of blood under the nail causes intense pain. Subungual hematoma is a common type of fingertip ...

It’s generally too late to drain a subungual hematoma once the tissue has started to heal, typically after 48 to 72 hours. Understanding Subungual Hematomas. Subungual hematomas occur when blood collects under the nail, often due to trauma. This injury can be caused by slamming your finger in a door, dropping something heavy on it, or other ...

A subungual hematoma is blood under a fingernail or toenail. It's caused by hitting the nail with an object such as a hammer. Or it can happen if you pinch it in a door or drawer. The hematoma can cause throbbing pain in the hurt finger or toe. Your doctor may have relieved the pain by making a small hole in the nail. This lets the blood drain out.

Overview of Subungual Hematoma Drainage. A subungual hematoma is a condition where blood collects under the nail due to an injury. People usually experience pain and color change of the nail as a result. It commonly happens when the fingertip gets a hard knock or is squeezed really hard, like when getting a finger pinched in a doorway.

Current recommendations for drainage of acute (less than 48 hours) subungual hematomas advocate for trephination, a procedure where a hole is made in the nail to drain the hematoma. Previous recommendations were to remove the nail for any hematoma greater than 50% of the nail or greater than 25% of the nail in the presence of a fracture.

A subungual hematoma is a bruise that forms under the nail after trauma. Subungual hematomas can be very painful, but draining them can provide pain relief. Most subungual hematomas heal well, but there’s a risk for complications like nail loss and infection.

Subungual Hematoma: A subungual hematoma is a collection of blood beneath the nail caused by trauma or injury. Indications for Subungual Hematoma Drainage: Severe Pain: Subungual hematomas causing significant pain and discomfort may require drainage to relieve pressure and alleviate symptoms.

A Subungual Hematoma is a perfect example. The term means blood between your fingernail or toenail and the nail bed. Regardless of what you call it, ‘Nail blood’ at the least look ugly and at worst can be pretty painful. Many people ask ‘What happens if you don’t drain a subungual hematoma?’

Subungual hematomas occur after an injury to a nail. An impact can break blood vessels, causing blood to pool underneath the nail. ... fluid or pus draining from under the nail; increased swelling ...

Subungual hematomas are an accumulation of blood beneath the fingernail or toenail, usually caused by direct crushing trauma to the digit that results in bleeding of the nail bed (Figure 1). ... Trephination puts holes in the nail plate to drain the subungual hematoma which alleviates pain and promotes healing of the nail bed. This can be ...

A subungual hematoma is blood under a fingernail or toenail. It's caused by hitting the nail with an object such as a hammer. Or it can happen if you pinch it in a door or drawer. The hematoma can cause throbbing pain in the hurt finger or toe. Your doctor may have relieved the pain by making a small hole in the nail. This lets the blood drain out.

Subungual hematoma drainage is indicated whenever the hematoma causes 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. If the subungual hematoma is associated with the complete avulsion of the nail, a displaced phalanx fracture or a proximal fracture involving ...