What equipment is needed to perform subungual hematoma drainage?

1. Hart RG, Kleinert HE. Fingertip and nail bed injuries. Emerg Med Clin North Am. 1993 Aug. 11(3):755-65. [Medline].

2. Pingel C, McDowell C. Subungual Hematoma, Drainage. 2018 Jan. [Medline]. [Full Text].

3. Huang YH, Ohara K. Medical pearl: subungual hematoma: a simple and quick method for diagnosis. J Am Acad Dermatol. 2006 May. 54(5):877-8. [Medline].

4. Salter SA, Ciocon DH, Gowrishankar TR, Kimball AB. Controlled nail trephination for subungual hematoma. Am J Emerg Med. 2006 Nov. 24(7):875-7. [Medline].

5. Brown RE. Acute nail bed injuries. Hand Clin. 2002 Nov. 18(4):561-75. [Medline].

6. Green D, Hotchkiss R, Pederson W, Wolfe S. The Perionychium. Green's Operative Hand Surgery. 5th ed. Philadelphia, Pa: Elsevier; 2005. 389-416.

7. Fehrenbacher V, Blackburn E. Nail bed injury. J Hand Surg Am. 2015 Mar. 40 (3):581-2. [Medline].

8. Cotterell IH, Richard MJ. Metacarpal and phalangeal fractures in athletes. Clin Sports Med. 2015 Jan. 34 (1):69-98. [Medline].

9. Gamston J. Subungual haematomas. Emerg Nurse. 2006 Nov. 14(7):26-34. [Medline].

10. Roser SE, Gellman H. Comparison of nail bed repair versus nail trephination for subungual hematomas in children. J Hand Surg [Am]. 1999 Nov. 24(6):1166-70. [Medline].

11. Seaberg DC, Angelos WJ, Paris PM. Treatment of subungual hematomas with nail trephination: a prospective study. Am J Emerg Med. 1991 May. 9(3):209-10. [Medline].

12. Hart R, Uehara D, Wagner MJ. Emergency and Primary Care of the Hand. Dallas, Tex: American College of Emergency Physicians; 2001. 191-200.

13. Dean B, Becker G, Little C. The management of the acute traumatic subungual haematoma: a systematic review. Hand Surg. 2012. 17 (1):151-4. [Medline].

14. Cohen PR, Schulze KE, Nelson BR. Subungual hematoma. Dermatol Nurs. 2007 Feb. 19(1):83-4. [Medline].

15. Bonisteel PS. Practice tips. Trephining subungual hematomas. Can Fam Physician. 2008 May. 54(5):693. [Medline].

Oliver Mayorga, MD, MS, FACEP Chief Medical Officer, Lawrence and Memorial Hospital and Westerly Hospital

Oliver Mayorga, MD, MS, FACEP is a member of the following medical societies: American College of Emergency Physicians

Disclosure: Nothing to disclose.

Stephen P Wall, MD, MS Assistant Professor, Department of Emergency Medicine, Epidemiology and Population Health, Jacobi Medical Center, Albert Einstein College of Medicine

Stephen P Wall, MD, MS is a member of the following medical societies: Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Erik D Schraga, MD Staff Physician, Department of Emergency Medicine, Mills-Peninsula Emergency Medical Associates

Disclosure: Nothing to disclose.

The authors would like to acknowledge the patients who allowed us to use their images for teaching purposes.

The authors and editors of Medscape Reference gratefully acknowledge the assistance of Lars Grimm with the literature review and referencing for this article.