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The fingernail is an important part of fingertip function. It provides support for the
finger pad and improves sensation. The toenail functions in a similar manner in the
foot.
Injuries to the nail can range from a bruise under the nail to separation of the nail
from the nail bed. They can be complex wounds to repair. Permanent deformity to
the nail can result, even after proper repair.
The nail bed is underneath the nail plate and is responsible for nail growth and
support.
The nail plate itself is the hard substance on the back of the finger or toe.
The eponychium (cuticle) and lateral nail folds (raised skin on the sides of the
machinery
There are five categories of injury that can occur to the nail. Often, a combination of
these injuries occurs in the same nail.
usually a red or purple-black color, which fades to blue over a few weeks. The
entire finger or toe throbs and is painful to touch or even move through the
air. A nail bruise may occur by itself, or it can be seen in combination with
A nail laceration can refer to a cut through the nail, to the nail bed, to the
cuticle or lateral nail folds, or any combination of these. There is always blood
visible on the skin. The nail can appear quite mangled depending on the type
of injury.
all of the nail, has been removed from the rest of the finger. Bone may or may
not be visible.
A nail avulsion occurs when a portion of the nail is lifted off the nail bed or is
sticking out of the skin at the base of the nail (the cuticle). There is usually
blood visible around the avulsed nail. This is often associated with a laceration.
A fracture of the bone under the nail can also be associated with injuries to the
nail, particularly with crushing injuries. This is called a distal tuft fracture. Unless
there is an obvious bend (deformity) in the end of the finger, an x-ray will be
If the qualifications for home care are met (See "Self-Care at Home" below), then a
visit to the doctor is indicated only in the following cases.
It has been more than ten years since your last tetanus booster shot.
Infection, redness, or drainage develops at the site of the injury two to seven
days later.
infection.
Most nail injuries are best managed in a hospital's emergency department instead of
at the doctor's office. You should be seen within six hours and can be transported by
private vehicle. Calling an ambulance is unnecessary unless there are other more
serious injuries. Anything worse than a small nail bruise should be brought to the
emergency department for evaluation and repair. This includes the following
examples.
Any laceration (cut) or amputation of the nail, the nail bed, or the skin
Any part of the nail sticking out of the skin or pulled off the nail bed (nail
avulsion)
A nail bruise that takes up more than 25% of the total nail and that you would
like to be drained
Any bend or deformity in the fingertip indicating that the bone may be broken
How Do Health Care Providers Diagnose a Nail Injury?
The doctor will make a detailed examination of the hand or foot and the injured nail
and decide the extent of treatment and repair necessary by performing the following
procedures.
The doctor will want to know exactly how the injury occurred to determine
bite).
The doctor will ask about other medical problems, medications, allergies, and
Home care should begin with initial wound care and evaluation of the injury.
Stop any bleeding by applying pressure with a clean cloth. When the bleeding
bruise) that you do not want to be drained or that occupies less than 25% of
the total nail if the finger or toe is not bent or deformed, and if there are no
lacerations or avulsions of the nail. Do not be too concerned if there are some
Keep the hand or foot elevated above the level of the heart. This will help with
the throbbing.
Use acetaminophen (Tylenol) or ibuprofen (Advil) for pain if you are not
Wash any cuts or scrapes in soap and water, then apply a bandage.
If there are any lacerations, avulsions, a large nail bruise, or if the finger or toe
Do not pull at the nail or try to remove it from the nail bed. Wrap any
amputated parts in a moist clean paper towel, place in a zip-locked plastic bag,
then place the bag in ice. Bring this with you to the hospital's emergency
department.
Basic wound care is the same for all nail injuries, although the specific repair
techniques will vary depending on the type of injury. The wound will be cleaned so
that the doctor can examine it more closely. A tetanus shot will be given if it has been
longer than 10 years since your last one.
If a repair is needed, the finger or toe will be numbed up prior to starting work. This is
usually done by injecting medicine at the bottom of the finger or toe. This makes the
entire finger or toe numb, so that you do not feel the doctor working on the nail.
Depending on the injury, the doctor may choose to inject the numbing medicine
directly into the nail bed or nail folds instead of numbing the entire finger.
Sometimes a tourniquet to slow the blood flow is used on the finger or toe during the
repair. This helps prevent bleeding during the procedure, so that the doctor can see
the wound more clearly.
Antibiotics are usually not given unless the bone is broken and there is bleeding or a
laceration, or if the wound is from a bite.
Nail bruise: The doctor may decide to drain the blood by placing a hole in the
nail plate. This painless procedure allows the blood to drain out of the hole
and relieve the pressure and throbbing sensation. This can be done with a
doctor may occasionally choose to remove the nail and examine the nail bed
for a laceration. This is more likely if it is a large bruise and the bone is broken.
Nail laceration (cut): At least a portion of the nail will have to be removed prior
to repair of the cut. The nail bed and the surrounding skin will have to be sewn
up, often with several different types of sutures (stitches). After the nail bed has
been repaired, the nail will be replaced and sewn or glued (with medical-grade
glue) to the finger, or a special type of gauze will be inserted in place of the
nail. This dressing will have to remain in place for two to three weeks.
Fingertip amputation: The doctor will probably not be able to reattach the tip
of the finger. If the piece is large and clean enough, a few major medical
centers may try to reattach the tip or improve the final appearance of the
finger using advanced techniques. Even with highly trained hand surgeons and
Nail avulsion: The nail sometimes can be replaced under the skin if there has
been no damage to the nail bed. However, with a nail avulsion, there is usually
A splint will then be placed on the broken finger or the broken toe to keep the
bone in place. If the bone is out of line, a bone or hand specialist may have to
place a wire in the tip of the finger to keep the bone in place. Antibiotics may
Any skin stitches or stitches in the nail will need to be removed in seven to 14
days. Any stitches in the nail bed will dissolve by themselves and can be left in
place.
The doctor may want to recheck the wound in three to five days.
Keep the wound clean and dry. Follow any specific wound care instructions
Keep the hand or foot above the level of the heart to aid in pain control.
CEDERA KUKU
sama di kaki.
Luka pada kuku bisa berkisar dari memar di bawah kuku hingga pemisahan kuku dari
dasar kuku. Mereka bisa menjadi luka kompleks untuk diperbaiki. Kelainan bentuk
permanen pada kuku dapat terjadi, bahkan setelah perbaikan yang tepat.
• Tempat tidur kuku berada di bawah lempeng kuku dan bertanggung jawab untuk
• Pelat kuku itu sendiri adalah zat keras di bagian belakang jari atau kaki.
• eponikium (kutikula) dan lipatan kuku lateral (kulit yang terangkat pada sisi kuku)
juga merupakan bagian dari unit kuku.
Sebagian besar cedera pada kuku timbul dari salah satu dari tiga mekanisme.
• Kekuatan penghancur, seperti palu, pintu dibanting dengan jari, gigitan manusia,
atau mesin
• Robek atau robek, seperti mematikan jari kaki atau menangkap kuku pada benda
Ada lima kategori cedera yang bisa terjadi pada kuku. Seringkali, kombinasi dari
sendirinya, atau dapat dilihat dalam kombinasi dengan cedera kuku lainnya.
• Laserasi kuku dapat merujuk pada luka pada kuku, pada dasar kuku, pada kutikula
atau lipatan kuku lateral, atau kombinasi dari semuanya. Selalu ada darah yang
terlihat di kulit. Kuku bisa tampak sangat rusak tergantung pada jenis cedera.
• Amputasi ujung jari berarti sebagian dari ujung jari, termasuk sebagian atau seluruh
kuku, telah dikeluarkan dari sisa jari. Tulang mungkin atau mungkin tidak terlihat.
• Avulsi kuku terjadi ketika sebagian kuku diangkat dari alas kuku atau mencuat keluar
dari kulit di dasar kuku (kutikula). Biasanya ada darah yang terlihat di sekitar kuku
• Fraktur tulang di bawah kuku juga dapat dikaitkan dengan cedera pada kuku,
terutama dengan cedera yang menindas. Ini disebut fraktur berkas serat distal. Kecuali
jika ada tikungan yang jelas (kelainan bentuk) di ujung jari, x-ray akan diperlukan
Kapan Saya Harus Menghubungi Dokter tentang Cidera Kuku atau Kuku Kaki?
Jika kualifikasi untuk perawatan di rumah dipenuhi (Lihat "Perawatan Diri di Rumah" di
• Sudah lebih dari sepuluh tahun sejak suntikan tetanus booster terakhir Anda.
• Infeksi, kemerahan, atau drainase berkembang di lokasi cedera dua hingga tujuh
hari kemudian.
• Orang yang terluka menderita diabetes, sirkulasi buruk, AIDS, menjalani kemoterapi,
atau memiliki alasan lain untuk penyembuhan yang buruk atau peningkatan risiko
infeksi.
Kebanyakan cedera kuku paling baik ditangani di bagian gawat darurat rumah sakit
daripada di kantor dokter. Anda harus terlihat dalam waktu enam jam dan dapat
diangkut dengan kendaraan pribadi. Memanggil ambulans tidak perlu kecuali ada
cedera lain yang lebih serius. Yang lebih buruk dari memar kecil harus dibawa ke
departemen darurat untuk evaluasi dan perbaikan. Ini termasuk contoh-contoh
berikut.
• Setiap laserasi (luka) atau amputasi kuku, dasar kuku, atau kulit di sekitar kuku
• Setiap bagian kuku mencuat dari kulit atau menarik alas kuku (avulsion kuku)
• Memar kuku yang menghabiskan lebih dari 25% dari total kuku dan Anda ingin
dikeringkan
• Lengkungan atau kelainan bentuk apa pun di ujung jari yang mengindikasikan
• Cedera apa pun yang disebabkan oleh gigitan manusia atau gigitan binatang
Dokter akan melakukan pemeriksaan rinci pada tangan atau kaki dan kuku yang
terluka dan memutuskan sejauh mana perawatan dan perbaikan yang diperlukan
• Dokter akan ingin tahu persis bagaimana cedera terjadi untuk menentukan
kemungkinan cedera dan apakah luka tersebut terkontaminasi (terutama jika berasal
dari gigitan).
• Dokter akan bertanya tentang masalah medis lainnya, obat-obatan, alergi, dan
Perawatan di rumah harus dimulai dengan perawatan luka awal dan evaluasi cedera.
• Pertama, lepaskan semua perhiasan dari tangan atau kaki yang sakit.
VOCABULLARY
DOOR SLAMMING ON FINGERS : JARI TANGAN KEJEPIT PINTU
It is usually a red or purple-black color, which fades to blue over a few weeks
NAIL INJURIES
Overview
Nail bed injuries are a type of fingertip injury, which is the most common type of hand
injury seen in hospital emergency rooms. They can be minor or they can also be
very painful and uncomfortable, even limiting your finger movement.
Nail bed injuries can occur many ways. Often, they happen when your nail’s caught
between two objects or hit by something heavy, such as being slammed in a door,
having something being dropped on it, or being hit by a hammer. They can also be
caused by cuts, such as from a knife or a saw.
Nail bed injuries are almost always treatable but in rare cases can cause nail
deformities.
When your fingertip or your nail bed is pinched, crushed, or cut, it causes a nail bed
injury.
Crushing can happen when your finger gets caught between two objects or in a
doorway. Heavy objects falling on your finger can also cause injuries to the nail bed,
as can being hit by a hammer.
Cuts to your fingertip, nail bed, or the tendons that you use to straighten and bend
your fingertip can all cause nail bed injuries. Cuts to nerve endings in your fingertip
can also cause nail bed injuries.
Subungual hematoma
A subungual hematoma is when blood gets trapped under your nail bed. It’s usually
caused by your nail getting crushed or hit by a heavy object. Symptoms include
throbbing pain and your nail turning black and blue. This usually looks like a bruise
under your nail.
A nail bed laceration is when your nail and the underlying nail bed get cut. It’s usually
caused by a saw or knife but can also be caused by a crushing injury. If you have a
nail bed laceration, it’s likely to bleed. You’ll be able to see the cut through your nail.
As it heals, you might have a large bruise.
A nail bed avulsion is when your nail and part of your nail bed are pulled away from
the rest of your finger. It commonly happens to your ring finger and is caused by your
finger getting stuck or jammed in something. Nail bed avulsions are very painful and
cause your finger to swell. Finger fractures are also common with this type of injury.
If you have a nail bed avulsion, your nail will have to be removed if it hasn’t come off
during the injury.
Other injuries
There are also nail bed injuries that affect more than your nail bed, such as a
fingertip fracture or amputation.
Nail bed repair
Repairing a nail bed injury will differ depending on the type of injury. If your injury is
serious, your doctor might take an X-ray to check for broken bones. You may also
get anesthesia so your doctor can look at your nail more closely and treat your injury
without causing more pain.
For subungual hematomas. This can be drained through a small hole in your
nail, usually made with a needle. This also relieves pain and pressure. If the
subungual hematoma covers more than 50 percent of your nail, you might need to
have the nail removed so you can get stitches.
For nail bed lacerations. This injury might require stitches. If the cut is serious,
your nail might have to be removed. It should grow back.
For nail bed avulsions. This injury requires removing your nail. If you also have
a finger fracture, it will need to be splinted. You might need a splint for up to three
weeks, depending on the seriousness of the injury.
Injury outlook
Many injuries to your nail bed can be fully repaired. For example, your nail should
return to normal after a subungual hematoma is drained. However, some severe
injuries can lead to a deformed nail. This is more likely when the base of your nail
bed is injured.
The most common complications of nail bed injuries are hook nail and a split nail. A
hook nail occurs when your nail doesn’t have enough bony support and curves
around your finger. It can be treated by removing your nail and trimming some of the
nail matrix, which is the tissue your nail rests on.
A split nail happens because your nail can’t grow over scar tissue. It’s treated by
removing the nail that’s already grown and treating or removing the scar so new nail
can grow properly.
If all or part of your nail is removed, it will grow back. It takes approximately a week
for a fingernail to start growing back and three to six months for it to totally grow
back. After the nail’s removed, you’ll need to keep your fingertip covered while your
nail starts to grow back.
Many nail bed injuries require a doctor. However, there are several steps you should
take before seeing a doctor when you injure your nail bed:
Remove all jewelry from your hands. If your finger’s too swollen to get a ring off,
call your doctor immediately.
If your injury is minor, you may be able to treat it at home. For example, if your
subungual hematoma is small (one-fourth the size of your nail or less), you don’t
need to see a doctor. In addition, if your nail is completely removed and the nail bed
or rest of your finger isn’t injured, you may not need to see a doctor.
If you have a deep cut in your nail bed, you should see a doctor, especially if it
doesn’t stop bleeding. Subungual hematomas that cover more than a quarter of your
nail also need medical treatment.
If your finger is very swollen or painful, or if you think it’s fractured, you should see
your doctor for an evaluation.
CEDERA KUKU
Ikhtisar
Cidera tempat tidur kuku adalah jenis cedera ujung jari, yang merupakan jenis cedera
tangan paling umum terlihat di ruang gawat darurat rumah sakit. Mereka bisa
menjadi kecil atau mereka juga bisa sangat menyakitkan dan tidak nyaman, bahkan
Cidera kuku bisa terjadi banyak cara. Seringkali, itu terjadi ketika kuku Anda
tersangkut di antara dua benda atau terbentur sesuatu yang berat, seperti terbanting
di pintu, ada sesuatu yang dijatuhkan di atasnya, atau ditabrak palu. Mereka juga
Cidera kuku hampir selalu dapat diobati tetapi dalam kasus yang jarang dapat
Ketika ujung jari Anda atau alas kuku Anda terjepit, dihancurkan, atau dipotong, itu
menyebabkan cedera alas kuku.
Menghancurkan dapat terjadi ketika jari Anda terjebak di antara dua benda atau di
ambang pintu. Benda-benda berat yang jatuh di jari Anda juga dapat menyebabkan
Potongan pada ujung jari Anda, alas kuku, atau tendon yang Anda gunakan untuk
meluruskan dan menekuk ujung jari Anda semua dapat menyebabkan cedera alas
kuku. Pemotongan ujung saraf di ujung jari Anda juga dapat menyebabkan cedera
pada kuku.
Hematoma subungual
Hematoma subungual adalah ketika darah terperangkap di bawah alas kuku Anda. Ini
biasanya disebabkan oleh kuku Anda yang hancur atau tertabrak benda berat.
Gejalanya meliputi rasa sakit yang berdenyut-denyut dan kuku Anda menjadi hitam
dan biru. Ini biasanya terlihat seperti memar di bawah kuku Anda.
Laserasi lapisan kuku terjadi ketika kuku Anda dan lapisan dasar kuku terluka. Ini
biasanya disebabkan oleh gergaji atau pisau tetapi juga dapat disebabkan oleh
cedera yang sangat parah. Jika Anda mengalami laserasi kuku, kemungkinan akan
berdarah. Anda akan dapat melihat luka di kuku Anda. Saat sembuh, Anda mungkin
Avulsion bed kuku adalah ketika kuku Anda dan bagian bedeng kuku ditarik dari sisa
jari Anda. Ini biasanya terjadi pada jari manis Anda dan disebabkan oleh jari Anda
tersangkut atau tersangkut pada sesuatu. Avulsi dasar kuku sangat menyakitkan dan
menyebabkan jari Anda membengkak. Fraktur jari juga umum terjadi pada cedera
jenis ini.
Jika Anda menderita avulsion bed nail, kuku Anda harus dilepas jika belum lepas saat
cedera.
Cidera lainnya
Ada juga luka pada kuku yang mempengaruhi lebih dari pada kuku Anda, seperti
Memperbaiki cedera dasar kuku akan berbeda tergantung pada jenis cedera. Jika
cedera Anda serius, dokter mungkin akan melakukan rontgen untuk memeriksa
tulang yang patah. Anda juga mungkin mendapatkan anestesi sehingga dokter Anda
dapat melihat kuku Anda lebih dekat dan mengobati cedera Anda tanpa
• Untuk hematoma subungual. Ini dapat dikeringkan melalui lubang kecil di kuku
Anda, biasanya dibuat dengan jarum. Ini juga mengurangi rasa sakit dan tekanan. Jika
hematoma subungual mencakup lebih dari 50 persen kuku Anda, Anda mungkin
• Untuk laserasi tempat tidur kuku. Cedera ini mungkin membutuhkan jahitan. Jika
luka serius, kuku Anda mungkin harus dilepas. Itu harus tumbuh kembali.
• Untuk avulsi dasar kuku. Cedera ini mengharuskan Anda melepas kuku. Jika Anda
juga mengalami fraktur jari, jari Anda harus dipatahkan. Anda mungkin memerlukan
Outlook cedera
Banyak luka pada alas kuku Anda dapat sepenuhnya diperbaiki. Misalnya, kuku Anda
harus kembali normal setelah hematoma subungual terkuras. Namun, beberapa
cedera parah dapat menyebabkan kuku cacat. Ini lebih mungkin terjadi ketika pangkal
alas kuku Anda terluka.
Komplikasi paling umum dari cedera dasar kuku adalah kuku kait dan kuku yang
terbelah. Kuku kait muncul ketika kuku Anda tidak memiliki cukup banyak dukungan
tulang dan kurva di sekitar jari Anda. Ini dapat diobati dengan melepas kuku Anda
dan memotong beberapa matriks kuku, yang merupakan jaringan tempat kuku Anda
berada.
Kuku pecah terjadi karena kuku Anda tidak dapat tumbuh di atas jaringan parut. Ini
dirawat dengan menghilangkan kuku yang sudah tumbuh dan merawat atau
menghilangkan bekas luka sehingga kuku baru bisa tumbuh dengan baik.
Jika seluruh atau sebagian kuku Anda dilepas, ia akan tumbuh kembali. Dibutuhkan
sekitar satu minggu untuk kuku mulai tumbuh kembali dan tiga hingga enam bulan
untuk benar-benar tumbuh kembali. Setelah kuku dilepas, Anda harus menjaga agar
ujung jari Anda tertutup saat kuku Anda mulai tumbuh kembali.
Banyak luka pada kuku membutuhkan dokter. Namun, ada beberapa langkah yang
harus Anda ambil sebelum menemui dokter ketika Anda melukai kuku Anda:
• Lepaskan semua perhiasan dari tangan Anda. Jika jari Anda terlalu bengkak untuk
melepaskan cincin, segera hubungi dokter Anda.
Jika cedera Anda ringan, Anda mungkin bisa mengobatinya di rumah. Misalnya, jika
hematoma subungual Anda kecil (seperempat ukuran kuku Anda atau kurang), Anda
tidak perlu ke dokter. Selain itu, jika kuku Anda benar-benar terlepas dan kuku atau
sisa jari Anda tidak terluka, Anda mungkin tidak perlu ke dokter.
Jika Anda memiliki luka yang dalam pada dasar kuku Anda, Anda harus pergi ke
dokter, terutama jika itu tidak menghentikan pendarahan. Hematoma subungual yang
menutupi lebih dari seperempat kuku Anda juga memerlukan perawatan medis.
Jika jari Anda sangat bengkak atau sakit, atau jika Anda merasa fraktur, Anda harus
Kapan t