S61.314

Clinical Causes: Accidental cuts from sharp objects such as knives, glass, or metal tools Crushing injuries that cause tearing of the skin and nail Falls onto sharp edges or surfaces Workplace or household accidents involving blades or tools Trauma from sports or recreational activities

Key Symptoms: Pain at the injury site Swelling and tenderness around the finger Bleeding from the wound Visible cut or tear in the skin of the finger Damage or distortion of the nail, including splits or detachment Possible exposure of underlying tissues if the injury is deep Reduced finger mobility or stiffness Signs of infection, such as redness, warmth, pus, or fever

Diagnosis Path: Diagnosis typically involves a clinical examination by a healthcare professional, who assesses the extent of the injury. The healthcare provider will look for signs of tissue damage, nail injury, and any involvement of underlying structures. In some cases, imaging studies like X-rays may be ordered to evaluate for bone fractures or foreign objects embedded in the tissue. The cause, mechanism of injury, and the depth of the wound are important factors in determining the treatment plan.

Treatment Protocols: Cleaning the wound thoroughly to remove dirt and debris Control of bleeding using pressure and elevation Assessment of the injury’s depth and extent Possible suturing of the laceration to promote proper healing Protection of the nail bed; repairing or stabilizing the nail if necessary Use of antibiotics to prevent infection, especially for deep or contaminated wounds Pain management with appropriate medications Tetanus prophylaxis if indicated Advice on wound care at home, including keeping the area clean and dry Follow-up with a healthcare provider to monitor healing Possible referral to a specialist, such as a hand surgeon, if there is significant damage or functional impairment