S61.34

Clinical Causes: Accidental puncture injuries from sharp objects such as nails, glass, needles, or metal pieces. Work-related incidents, especially in construction, carpentry, or gardening activities. Falls onto pointed objects or sharp-edged surfaces. Handling of broken or damaged nails that may cause puncture wounds. Trauma from sports or recreational activities involving sharp equipment or objects.

Key Symptoms: Pain, often immediate and sharp at the injury site. Bleeding from the puncture wound. Swelling and tenderness around the affected finger. Visible damage or injury to the nail, possibly including a nail detachment or deformity. Presence of a foreign body, which may be visible or felt beneath the skin or nail. Possible signs of infection such as redness, warmth, pus, or increased pain over time.

Diagnosis Path: Healthcare professionals will assess the injury through a physical examination, focusing on the extent of skin penetration, nail damage, and foreign body presence. Imaging techniques like X-rays are often utilized to identify retained foreign bodies, particularly if they are radiopaque. The assessment may include checking for signs of infection or deeper tissue injury. Proper diagnosis is crucial for determining the appropriate treatment plan.

Treatment Protocols: Cleaning the wound thoroughly to remove dirt, debris, and bacteria. Removal of any foreign body, whether visible on the surface or lodged within tissues. Assessment of nail damage to determine if repair or removal is necessary. Control of bleeding using direct pressure or bandages. Administration of tetanus prophylaxis if needed, especially if vaccination status is uncertain or outdated. Prescribing antibiotics if there's a risk of infection or presence of infection signs. Monitoring for signs of infection or complications during healing. Follow-up care may include wound dressings, pain management, and in some cases, surgical intervention to repair nail or tissue damage.