Subungual haematomas: is simple trephining enough?. Issue 4 (July 1998)

• Record Type: Journal Article
• Authors: Meek, S; White, M
• Is Part Of: Journal of accident & emergency medicine. Volume 15:Issue 4(1998)
• Page Start: 269
• Page End: 271
• Publication Date: 1998-07
• Subjects: Emergency medicine -- Periodicals; 616.025
• DOI: 10.1136/emj.15.4.269
• Languages: English
• ISSNs: 2633-6138

Abstract

Abstract : OBJECTIVES: To determine the outcome of treating subungual haematomas by simple trephining, in terms of nail appearance and function, and to identify factors associated with a poor outcome. METHODS: Patients with subungual haematomas attending an accident and emergency department over a 12 month period were identified; 5-13 months after injury a telephone and postal survey of patient's assessment of their own outcome was made using a proforma. Outcome was graded according to published criteria. RESULTS: 123 patients with 127 subungual haematomas were identified and 74% were followed up; 85% achieved an "excellent" or "very good" result, with 67% reporting no residual abnormalities. A "poor" outcome occurred in only 2% owing to nail splitting. No correlation was found between adverse outcome and haematoma size, presence of fracture, or infection. CONCLUSIONS: Treatment of subungual haematomas by simple trephining gives an acceptable result in the majority of patients and those with a poor outcome cannot be predicted at presentation. The findings suggest that only simple trephining for symptomatic relief is required for subungual haematomas and that aggressive surgical treatment is unnecessary.