S61.346

Clinical Causes: Accidental pricks from sharp objects like nails, screws, or glass. Work-related injuries, especially in construction, carpentry, or mechanical environments. Falls onto sharp objects that penetrate the finger. Handling broken objects that can embed foreign material into the skin. Accidental punctures during household chores or hobbies involving sharp tools.

Key Symptoms: Pain at the site of injury, which may worsen with movement or pressure. Swelling and redness around the puncture wound. Presence of a foreign object visibly embedded in or beneath the skin. Damage to the nail, such as a crack, bleed beneath the nail, or complete loss of the nail. Limited finger mobility due to pain or swelling. Possible signs of infection including warmth, pus, or increased tenderness.

Diagnosis Path: Diagnosis typically involves a physical examination of the affected finger, assessing the extent of tissue damage, and locating any foreign material. Imaging tests like X-rays are often performed to detect hidden foreign bodies, especially if the object is radiopaque (e.g., metal). The healthcare provider may also evaluate nail integrity and examine nearby tissues for signs of infection or nerve involvement.

Treatment Protocols: Treatment strategies focus on wound cleaning, foreign body removal, and injury management. Common procedures include: - Thorough cleansing of the wound to prevent infection. - Removal of any embedded foreign objects, possibly using magnification for small fragments. - Repair of damaged nail tissue or removal if severely damaged. - Administration of tetanus immunization if applicable. - Prescribing antibiotics if infection risks are high or if signs of infection develop. - Pain management with appropriate medications. - Follow-up care including wound care instructions, and monitoring for complications. In some cases, surgical intervention may be necessary to repair damage or remove foreign bodies deeply embedded or lodged near vital structures. Additionally, long-term care may include physiotherapy to restore finger function if necessary.