S60.13

Clinical Causes: A blow or impact to the middle finger from accidents such as falling objects, door slams, or sports injuries. Repetitive trauma or pressure applied to the finger. Crushing injuries from machinery or heavy objects. Direct hits during contact sports or activities involving hand tools.

Key Symptoms: Pain and tenderness in the middle finger, especially around the nail area. Swelling and discoloration (purple, blue, or black bruising) around the affected region. Reddish or darkened nail color indicating bleeding under the nail (subungual hematoma). Possible tenderness or sensitivity when touching the finger or nail. Deformity or damage to the nail, which may appear lifted, cracked, or partially detached. Limited finger movement or stiffness depending on the severity of injury. In some cases, bleeding under the nail can cause increased pressure and significant discomfort.

Diagnosis Path: Diagnosis typically involves a physical examination by a healthcare professional who assesses the extent of the injury, noting swelling, discoloration, and nail damage. Imaging tests such as X-rays may be performed to rule out fractures or other underlying bone injuries. The healthcare provider will also evaluate the condition of the nail and surrounding tissues to determine the severity of the contusion and any associated damage.

Treatment Protocols: Treatment approaches focus on alleviating pain, reducing swelling, and preventing infection or further damage. Common methods include: - Resting and elevating the affected finger to minimize swelling. - Applying ice packs to reduce pain and inflammation. - Taking over-the-counter pain relievers as needed. - Protecting the finger from further injury with a splint or padding. - Drainage of blood from under the nail (if necessary), a procedure performed by a healthcare professional to relieve pressure. - Keeping the nail and surrounding skin clean to prevent infection. - Monitoring for signs of infection or worsening symptoms. In severe cases where the nail is severely damaged or detached, medical intervention might involve removing the nail or surgical repair. Follow-up care may be necessary to assess healing and manage any complications.