Podcast 699: Pediatric Fingernail Avulsions

Emergency Medical Minute

Contributor: Aaron Lessen, MD

Educational Pearls:

• Traditionally, fingernails were replaced after avulsion using sutures
• Sometimes artificial material was placed when the fingernail was not available
• Recent study evaluated treatment of fingernail avulsions pediatric patients by replacing the nail versus cleaning and putting a non-adhesive dressing
• No difference in the aesthetics or patient satisfaction with the new fingernail between the two treatment groups

References

Seiler M, Gerstenberg A, Kalisch M, Kennedy U, Scheer HS, Weber DM. Non-operative treatment versus suture refixation of the nail plate in paediatric fingernail avulsion injuries. J Hand Surg Eur Vol. 2021;46(5):523-529. doi:10.1177/1753193420965390

Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD

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