Recommendations on treatment of nail and fingertip injuries in children. Cases series and literature review
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| Formato: | Artículo científico |
| Lenguaje: | en |
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Universidad Nacional de Colombia
2016
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| _version_ | 1876457316098768896 |
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| author | Enrique Vergara-Amador |
| author_facet | Enrique Vergara-Amador |
| contents | Recommendations on treatment of nail and fingertip injuries in children. Cases series and literature review Enrique Vergara-Amador Sergio Castillo-Pérez Wilson Tovar-Cuellar Medicina Hematoma Paronychia Hand Injuries Wounds and Injuries Nail Diseases (MeSH) Introduction: Nail and fingertip injuries in children are very frequent and may range from a simple nail or fingertip injury to amputations. Objective: To present a series of cases with their clinical and demographic characteristics and to describe the current concepts for the treatment of these injuries.Materials and methods: A series of cases presenting fingertip injuries was analyzed for six months. Epidemiology of injuries is described and the current concepts of their treatment are reviewed. Results: 60% of the injuries analyzed in this study occurred in male subjects; 88% of patients suffered crush injuries, the nail was affected in 98% of the cases, sterile matrix damage was observed in 64% and germinal matrix damage was experienced in 34% of the cases. The soft tissue around the finger was affected in 40% of the cases and associated fractures were observed in 55% of the cases. Conclusion: Fingertip crush caused by closing doors was the most frequent injury, which implied a higher involvement of the nail. An adequate treatment focused on the anatomic repair of the nail bed, the relocation of the nail plate and, in some cases, the use of flaps to cover defects in the soft tissue is ideal for this type of injuries, and must be provided as fast as possible to avoid secondary deformities. 2016 artículo científico 2357-3848 https://www.redalyc.org/articulo.oa?id=576364352016 https://www.redalyc.org/journal/5763/576364352016/ https://www.redalyc.org/journal/5763/576364352016/html/ https://www.redalyc.org/journal/5763/576364352016/576364352016.epub https://www.redalyc.org/journal/5763/576364352016/movil 10.15446/revfacmed.v64n3.54201 en http://www.redalyc.org/revista.oa?id=5763 Revista de la Facultad de Medicina application/pdf Universidad Nacional de Colombia Revista de la Facultad de Medicina (Colombia) Num.3 Vol.64 |
| format | Artículo científico |
| id | redalyc_576364352016 |
| institution | Redalyc |
| language | en |
| publishDate | 2016 |
| publisher | Universidad Nacional de Colombia |
| spellingShingle | Recommendations on treatment of nail and fingertip injuries in children. Cases series and literature review Enrique Vergara-Amador Medicina Hematoma Paronychia Hand Injuries Wounds and Injuries Nail Diseases (MeSH) Recommendations on treatment of nail and fingertip injuries in children. Cases series and literature review Enrique Vergara-Amador Sergio Castillo-Pérez Wilson Tovar-Cuellar Medicina Hematoma Paronychia Hand Injuries Wounds and Injuries Nail Diseases (MeSH) Introduction: Nail and fingertip injuries in children are very frequent and may range from a simple nail or fingertip injury to amputations. Objective: To present a series of cases with their clinical and demographic characteristics and to describe the current concepts for the treatment of these injuries.Materials and methods: A series of cases presenting fingertip injuries was analyzed for six months. Epidemiology of injuries is described and the current concepts of their treatment are reviewed. Results: 60% of the injuries analyzed in this study occurred in male subjects; 88% of patients suffered crush injuries, the nail was affected in 98% of the cases, sterile matrix damage was observed in 64% and germinal matrix damage was experienced in 34% of the cases. The soft tissue around the finger was affected in 40% of the cases and associated fractures were observed in 55% of the cases. Conclusion: Fingertip crush caused by closing doors was the most frequent injury, which implied a higher involvement of the nail. An adequate treatment focused on the anatomic repair of the nail bed, the relocation of the nail plate and, in some cases, the use of flaps to cover defects in the soft tissue is ideal for this type of injuries, and must be provided as fast as possible to avoid secondary deformities. 2016 artículo científico 2357-3848 https://www.redalyc.org/articulo.oa?id=576364352016 https://www.redalyc.org/journal/5763/576364352016/ https://www.redalyc.org/journal/5763/576364352016/html/ https://www.redalyc.org/journal/5763/576364352016/576364352016.epub https://www.redalyc.org/journal/5763/576364352016/movil 10.15446/revfacmed.v64n3.54201 en http://www.redalyc.org/revista.oa?id=5763 Revista de la Facultad de Medicina application/pdf Universidad Nacional de Colombia Revista de la Facultad de Medicina (Colombia) Num.3 Vol.64 |
| title | Recommendations on treatment of nail and fingertip injuries in children. Cases series and literature review |
| topic | Medicina Hematoma Paronychia Hand Injuries Wounds and Injuries Nail Diseases (MeSH) |
| url | https://www.redalyc.org/articulo.oa?id=576364352016 https://www.redalyc.org/journal/5763/576364352016/ https://www.redalyc.org/journal/5763/576364352016/html/ https://www.redalyc.org/journal/5763/576364352016/576364352016.epub https://www.redalyc.org/journal/5763/576364352016/movil |