Description
A subungual hematoma is a visible collection of blood underneath the nail. It occurs after trauma to the nail and is sometimes associated with a fracture of the finger. The symptoms of pain worsen as the blood accumulates and causes increasing pressure on the finger.
Symptoms
Pain in the finger, blue-purple discoloration underneath the nail, throbbing pain.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. An X-ray may be done to identify an associated fracture.
Tests:
X-ray
Specialists:
Internal Medicine, Orthopedic Surgery, Hand Surgery, Pediatrics, Family Practice, Podiatry, Foot and Ankle Surgery
Workup:
A history and physical exam will be performed. An X-ray may be done to identify an associated fracture.
Tests:
X-ray
Specialists:
Internal Medicine, Orthopedic Surgery, Hand Surgery, Pediatrics, Family Practice, Podiatry, Foot and Ankle Surgery
Treatment
Drainage of the hematoma by making a pin-hole in the nail is the standard treatment. Pain medications such as acetaminophen (Tylenol), and/or nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn) are prescribed. A finger guard may be applied to prevent further injury during the healing process.