S60.132

Clinical Causes: Being hit by a hard object, such as a door, tool, or sports equipment Accidental trauma during activities like gardening, construction work, or sports Falls or collisions that impact the hand or finger Crushing injuries from heavy objects falling onto the finger Repeated minor injuries that accumulate over time

Key Symptoms: Pain and tenderness localized to the injured finger Swelling around the middle finger and nail area Bruising or discoloration of the skin and nail Possible bleeding under the nail (subungual hematoma) Sensitivity to touch or movement of the finger Nail deformity or detachment if the nail has sustained significant damage Reduced range of motion if swelling or pain is severe

Diagnosis Path: Diagnosis of a contusion with nail damage is primarily clinical, based on a physical examination of the hand and finger. The healthcare provider will inspect for bruising, swelling, and nail injuries. In some cases, an X-ray may be necessary to rule out fractures or other underlying bone injuries, especially if there is significant pain, deformity, or concern about joint involvement. The clinician may also assess the extent of nail damage and check for signs of infection or other complications.

Treatment Protocols: Management of a contused finger with nail damage generally focuses on relieving pain, reducing swelling, and preventing infection. Common treatments include: - Resting the finger and avoiding activities that could worsen the injury - Applying ice packs to reduce swelling and numb pain, typically for 15-20 minutes every hour - Elevating the hand to decrease swelling - Over-the-counter pain relievers, such as acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs), as directed - Protecting the finger with a bandage or splint if necessary - Monitoring for signs of nail detachment or infection - In cases with subungual hematoma causing significant pain, a healthcare provider may perform a blood drainage procedure to relieve pressure If the nail is severely damaged or detached, medical removal or surgical intervention might be required. Keeping the area clean and dry is crucial to prevent infection. Follow-up care is important to monitor healing and manage any complications.