S61.101

Clinical Causes: Accidental cuts or lacerations from sharp objects such as knives, glass, or tools. Crush injuries from heavy objects falling on the thumb. Bite wounds from animals or humans. Sharp傍 tool injuries during household or work activities. Trauma from falls or sports-related accidents involving the thumb.

Key Symptoms: Pain, especially when moving or touching the thumb. Swelling around the injury site. Bleeding from the wound or bleeding beneath the nail. Visible damage or separation of the nail from the underlying nail bed. Possible bruising around the injury. Tenderness and difficulty in moving the thumb due to pain or swelling. Possible signs of infection such as redness, warmth, or pus.

Diagnosis Path: Diagnosis typically involves a physical examination of the injury. Healthcare providers assess the extent of skin laceration, nail damage, and tissue involvement. In some cases, X-rays may be necessary to rule out underlying bone fractures or foreign objects embedded in the tissue. Proper documentation of the wound characteristics and nail injury helps determine the severity and appropriate treatment plan.

Treatment Protocols: Cleaning the wound thoroughly to remove dirt, debris, and bacteria. Control of bleeding through gentle pressure or dressing. Possible administration of local anesthesia for pain management during wound care. Careful examination of the nail and underlying tissue to evaluate the extent of damage. Repair of the wound with stitches if necessary, particularly in deep or gaping injuries. Covering the injury with sterile dressings and keeping the area clean and dry. Use of antibiotics if there is a high risk of infection or signs of infection appear. Management of nail injuries, which may include trimming, stabilization, or removal of damaged nail parts. Follow-up care to monitor healing, remove sutures, and assess for infection or other complications. In severe cases, referral to a specialist such as a hand surgeon or dermatologist may be recommended. Pain management using over-the-counter analgesics or prescribed medications.