S61.1

Clinical Causes: Accidental cuts from sharp objects such as knives, glass, or tools Crush injuries or heavy impacts that cause tearing of skin and nail damage Falls that result in hitting the thumb against hard surfaces Sports injuries, especially those involving falls or impacts Biting or grabbing objects that tear the skin and nail

Key Symptoms: Visible cut or laceration on the thumb Damage or separation of the nail or nail bed Bleeding from the wound Swelling and tenderness around the injury site Pain or discomfort when touching or moving the thumb Possible presence of exposed tissues or bone in severe cases Signs of infection such as redness, warmth, or pus

Diagnosis Path: Diagnosis typically involves a physical examination by a healthcare professional, who will assess the extent of the injury, check for damage to the nail, nail bed, and surrounding tissues. The doctor may also evaluate for deeper injuries, fractures, or involvement of the bone. In some cases, X-rays are performed to rule out fractures or embedded foreign objects. The severity of the wound and associated injuries determine the treatment plan.

Treatment Protocols: Cleaning the wound thoroughly to remove debris and reduce infection risk Numbing the area with local anesthesia before procedures Properly aligning and securing the nail or nail bed if damaged Suturing or stitching the cut to promote healing Applying dressings to protect the wound and absorb fluids Administering tetanus shots if the vaccination is not current Prescribing antibiotics if there is an infection risk or signs of infection Pain management with over-the-counter or prescribed medications Follow-up care to monitor healing and prevent complications In some cases, surgical intervention may be required to repair torn tissues or remove damaged nail parts In severe cases, partial or complete removal of the nail may be necessary to facilitate healing