
Subungual haematoma • LITFL • Clinical Cases Bamboozler
3 days ago · Although often benign, larger haematomas may be associated with distal phalangeal fractures or nail bed lacerations, and may warrant decompression (trephination) or even nail …
How To Do Nail Trephination - Injuries; Poisoning - Merck …
The procedure is very quick, usually < 1 second. If using a large bore needle, use a rotating motion with moderate pressure to drill carefully through the nail. After penetrating the nail …
Trephination Procedure - Cleveland Clinic
Sep 25, 2024 · Nail trephination is a quick, outpatient procedure that drains blood from a bruised nail (subungual hematoma). It involves making a small hole in the hard part of your nail (nail …
Nail Bed Injuries: What to Do—or Not to Do - ACEP Now
Aug 18, 2025 · Simple subungual hematomas involving less than 50 percent of the nail area can be managed with trephination alone. 4-6 Management of larger subungual hematomas is …
Subungual Hematoma Drainage - StatPearls - NCBI Bookshelf
Jul 25, 2023 · Most subungual hematomas can be relieved with simple trephination, a procedure that involves making a small hole in the nail. Unless the pressure is relieved, the patient may …
Nail Trephination - Nurseslab.in
Aug 2, 2025 · Nail trephination is a minor surgical procedure that involves creating a small hole in the fingernail or toenail to relieve pressure caused by the accumulation of blood (subungual …
Subungual Hematomas and Trephination - CanadiEM
Oct 6, 2020 · It was thought that these nail bed lacerations should be repaired to prevent long-term nail deformity. However, more recent evidence supports the use of trephination in …
Primary Care Procedures: Trephination of Subungual Hematoma
Mar 1, 2008 · Some authorities have recommended removing the nail plate and repairing the nail bed for subungual hematomas that involve more than 50% of the nail. Because nail bed repair …
How to Treat Subungual Hematoma with Nail Trephination
Learn how nail trephination relieves subungual hematoma pain by draining trapped blood under the nail. Discover the procedure, benefits, and aftercare tips.
NAILBED INJURY - Hand Surgery Resource
Upon exiting his parked car on steep hill, the car door shut and caught his right long finger, which immediately damaged his fingertip. The trauma from the slammed door resulted in a simple …