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Nail Injury

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2. Repair of the superior sagittal sinus following penetrating intracranial injury caused by nail gun accident: case report and technical note. (Abstract)

Repair of the superior sagittal sinus following penetrating intracranial injury caused by nail gun accident: case report and technical note. We report a 45-year-old man who suffered a penetrating nail gun injury resulting in damage to the lateral edge of the superior sagittal sinus. The injury was successfully treated via a parasagittal craniotomy that enabled removal of the nail under direct vision, allowing for rapid suturing of the sagittal sinus. Two neurosurgeons worked together; one (...) carefully withdrew the tip of the nail back into the sinus itself while the second rapidly sutured the hole in the inner superior sagittal sinus leaflet. Postoperatively, the patient made a rapid recovery without neurological deficit.

2019 British Journal of Neurosurgery

3. Experience of nail bed injuries at a tertiary hand trauma unit: a 12-month review and cost analysis. (Abstract)

Experience of nail bed injuries at a tertiary hand trauma unit: a 12-month review and cost analysis. The aim of this study was to analyse the management of nail bed injuries from a clinical and economic perspective. We carried out a retrospective analysis of nail bed injuries treated operatively at a tertiary Plastic Surgery Hand Trauma Unit during 2016. The National Schedule of Reference Costs (2015-2016) was used to estimate the costs of treating 630 patients. The most common mechanism (...) was a crush injury in a door (33%). Fifty-five per cent of patients had an associated tuft fracture. The minimum cost per annum for patients treated for nail bed injuries in our unit was calculated to be £511,560 (€573,362; US$666,664). Many nail bed injuries are preventable and because they present a very high financial burden on the National Health Service, targeted prevention strategies should be considered. Level of evidence: IV.

2019 Journal of Hand Surgery - European

4. Children's Nail Bed Injuries : Study of the Efficacy of the Simple Relocation of Nail Plate

Children's Nail Bed Injuries : Study of the Efficacy of the Simple Relocation of Nail Plate Children's Nail Bed Injuries : Study of the Efficacy of the Simple Relocation of Nail Plate - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more (...) studies before adding more. Children's Nail Bed Injuries : Study of the Efficacy of the Simple Relocation of Nail Plate (Ongl'HUS) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03013608 Recruitment Status : Recruiting

2017 Clinical Trials

5. Foreign body in the thoracic spine due to a nail gun penetrating injury: A case report. Full Text available with Trip Pro

Foreign body in the thoracic spine due to a nail gun penetrating injury: A case report. Spinal cord injuries could be catastrophic because they may result in severe neurovascular complications. Here, we present a case of thoracic spine-penetrating injury by a nail-gun.A 60-year-old male presented to our emergency department with complaints of progressive right chest pain for 1 week that was preceded by back pain. He had a medical history of hypertension and denied any trauma history. He had (...) the diagnosis. Careful interpretation of diagnostic imaging is necessary for avoiding medical disputes. Even in the absence of wounds and ecchymosis, trauma-related injury should be considered.

2018 Medicine

6. Bedside Ultrasonography in the Management of Penetrating Cardiac Injury Caused by a Nail Gun. (Abstract)

Bedside Ultrasonography in the Management of Penetrating Cardiac Injury Caused by a Nail Gun. Injuries from nail guns are a unique type of penetrating trauma seen in emergency departments (EDs), rising in prevalence in the United States. These devices can lead to life-threatening injuries that require rapid diagnosis to help guide management.An elderly man was brought to the ED having sustained a nail gun injury to the chest. After loss of pulses, brief closed chest compressions and rapid blood (...) and acquisition, and improvements of physician operator performance, ultrasonography has continued to make significant impacts in traumatically injured patients in new ways. We present this case report to highlight precordial nail gun injuries and to emphasize the diagnostic capabilities of bedside ultrasound for these patients.Copyright © 2018 Elsevier Inc. All rights reserved.

2018 Journal of Emergency Medicine

7. Intraoperative sonography may reduce the risk of extensor pollicis longus tendon injury during dorsal entry elastic intramedullary nailing of the radius in children. Full Text available with Trip Pro

Intraoperative sonography may reduce the risk of extensor pollicis longus tendon injury during dorsal entry elastic intramedullary nailing of the radius in children. Extensor pollicis longus tendon (EPL) injury is a potential complication of dorsal entry radial elastic nailing technique in children. The aim of this study was to investigate if intraoperative ultrasonographic guidance can reduce the risk of (EPL) injury.Correlation between sonographic and operative findings were examined first (...) in ESIN technique with basic musculoskeletal ultrasonographic qualifications.Sonographic identification of EPL and Lister's tubercle in the transverse view was possible in all cases. Determination of the position of the nail end to EPL was also possible in all cases. Mean distance of the transverse view center of the EPL and nail was 0.49 cm (range 0.3-0.62 cm, SD = 0.66). Based on the sonographic transverse view, the operator decided repositioning the nails by 2 patients.We have not found EPL injury

2018 Medicine

8. Straight proximal humeral nailing: Risk of iatrogenic tendon injuries with respect to different entry points in anatomical specimens. (Abstract)

Straight proximal humeral nailing: Risk of iatrogenic tendon injuries with respect to different entry points in anatomical specimens. The purpose of the study was to evaluate the relationship of implant-related injuries to the adjacent anatomical structures in a newer generation straight proximal humeral nail (PHN) regarding different entry points. The proximity of the proximal lateral locking-screws of the MultiLoc proximal humeral nail (ML PHN) may cause iatrogenic tendon injuries (...) lateral entry point; third alternative (N3) - medial position, centre of the humeral head. After nail placement, each specimen was screened for potential implant-related injuries or worded differently hit rates (HR) to the BG and the IST. The distances to the anatomical structures were measured and statistically interpreted.The observed iatrogenic IST injury rate was 17.5% (n = 7/40) for N1, 5% (n = 2/40) for N2 and 62.5% (n = 25/40) for N3, which was statistically significantly higher (p < 0.001

2018 Injury

9. A Technique for Tripartite Reconstruction of Fingertip Injuries Using the Thenar Flap With Bone and Nail Bed Grafts. (Abstract)

A Technique for Tripartite Reconstruction of Fingertip Injuries Using the Thenar Flap With Bone and Nail Bed Grafts. Fingertip amputation is the most common amputation encountered by hand surgeons. Treatment decisions are multifactorial, based on mechanism, level of injury, tissue loss, associated injuries, and patient preference, among others. In this article, we present use of the thenar flap in combination with bone graft and split-thickness nail bed graft to address the tripartite loss (...) of distal phalanx, soft tissue, and nail bed. This method allows for a full-length and functional reconstructed fingertip that is aesthetically satisfactory and does not require microsurgical techniques.Copyright © 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

2017 Journal of Hand Surgery - American

10. Flexor Hallucis Longus Tenosynovitis and First Metatarsophalangeal Synovitis After Penetrating Nail Prick Injury: Treated by Zone 3 Flexor Hallucis Longus Tendoscopy and Metatarsosesamoid Arthroscopy Full Text available with Trip Pro

Flexor Hallucis Longus Tenosynovitis and First Metatarsophalangeal Synovitis After Penetrating Nail Prick Injury: Treated by Zone 3 Flexor Hallucis Longus Tendoscopy and Metatarsosesamoid Arthroscopy Pedal penetrating nail prick injury around the first metatarsal head can result in persistent synovitis of the first metatarsophalangeal joint and tenosynovitis of the flexor hallucis longus tendon. Exploration and debridement is indicated if the condition does not improve with antibiotics. Open (...) surgery requires extensive dorsal and plantar incisions. The purpose of this Technical Note is to report the combined arthroscopic and tendoscopic approaches to address the first metatarsophalangeal joint and flexor hallucis longus tendon pathologies. Because it is a result of a pedal injury, the layer-by-layer exploration and debridement is from plantar dorsally. It starts with zone 3 flexor hallucis longus tendoscopy, followed by arthroscopy of the metatarsosesamoid compartment, and finally

2017 Arthroscopy techniques

11. Self-inflicted Cardiac Injury with Nail Gun Without Hemodynamic Compromise: A Case Report Full Text available with Trip Pro

Self-inflicted Cardiac Injury with Nail Gun Without Hemodynamic Compromise: A Case Report Pneumatically powered nail guns have been used in construction since 1959. Penetrating injuries to the heart with nail guns have a wide range of presentations from asymptomatic to cardiac tamponade and exsanguination. Mortality related to cardiac nail gun injuries is similar to knife injuries, estimated at 25%. Surgical exploration is the treatment of choice. We describe a case of self-inflicted nail gun (...) injury to the chest without hemodynamic compromise in a 51-year-old man. Computed tomography (CT) imaging confirmed nail penetrating the right ventricle, with the tip adjacent to but not violating the abdominal aorta. The patient was successfully treated with thoracotomy and foreign body removal.

2017 Cureus

12. Progressive fingertip necrosis after nail avulsion injury in a patient with ulnar artery hypoplasia: A case report. Full Text available with Trip Pro

Progressive fingertip necrosis after nail avulsion injury in a patient with ulnar artery hypoplasia: A case report. Slowly progressive hand ischemia is mostly associated with medical illness such as vasculitis, and in patients with smoking history, Buerger disease is often considered first. However, despite the very low incidence of vascular anatomical anomalies, they can lead to hand ischemia. And if there is no consideration for them, proper treatment cannot be selected.A 42-year-old male

2017 Medicine

13. [The Comparison and Evaluation of Partial Nail Avulsion and Total Nail Avulsion with Plate Replacement with Traditional Total Nail Avulsion]. (Abstract)

there was no statistic difference.By decreasing the defect of nail plate and the injury of nail bed, and by smoothing the pain, partial nail avulsion benefits the wound-healing. Nail plate should be replace to get further benefits. (...) [The Comparison and Evaluation of Partial Nail Avulsion and Total Nail Avulsion with Plate Replacement with Traditional Total Nail Avulsion]. To determine the different effects of partial nail avulsion and total nail avulsion with plate replacement with traditional total nail avulsion.Patients were divided into three groups randomly ( n=20): total nail avulsion group (control group), partial nail avulsion group, and total nail avulsion with plate replacement group (nail replacement group

2018 Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition Controlled trial quality: uncertain

14. Nail Injury

Nail Injury Nail Injury Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Nail Injury Nail Injury Aka: Nail Injury , Nail Avulsion (...) at the germinal matrix) VI. References Lin and Lin in Herbert (2014) EM:Rap 14(11): 8-10 Lin, Gajendran and Orman in Herbert (2016) EM:Rap 16(11): 7-8 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Nail Injury." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Injury of nail (C0347575) Concepts Injury or Poisoning ( T037 ) SnomedCT 275320004 English Nail

2018 FP Notebook

15. Partial nail avulsion and matricectomy for ingrown toenails

of a caustic chemical to destroy the nail matrix (matricectomy). Indication Ingrowing toenails, where conservative treatment has failed. Partial nail avulsion and chemical matricectomy relieve symptoms and prevent regrowth of the nail edge or recurrence of the ingrowing toenail. Ingrowing toenails are a common problem and occur when the edge of the nail grows into flesh at the side of the nail, causing a painful injury. The punctured skin can become inflamed and infected. Ingrown toenails can be classified (...) or locking forceps and using a gentle distraction technique to rotate it towards the midline of the nail plate and ease the nail free of the nail bed (Figure 2C, D). Apply liquified phenol BP directly to the site of the germinal nail matrix using small cotton wool applicator tips (Figure 2E). Application of phenol should be carefully confined to the immediate surgical area, avoiding excess phenol contact with surrounding skin as this may result in unnecessary tissue injury. It is important to ensure

2016 Handbook of Non-Drug interventions (HANDI)

16. Nail bed INJury Assessment Pilot (NINJA-P) study: should the nail plate be replaced or discarded after nail bed repair in children? Study protocol for a pilot randomised controlled trial. Full Text available with Trip Pro

Nail bed INJury Assessment Pilot (NINJA-P) study: should the nail plate be replaced or discarded after nail bed repair in children? Study protocol for a pilot randomised controlled trial. Nail bed injuries account for the majority of paediatric hand trauma cases. Despite their frequency, controversy remains regarding their treatment. The accepted teaching is to remove the fingernail, repair the underlying nail bed with fine sutures and replace the nail under the nail fold. A recent study (...) by Miranda et al. (Plast Reconst Surg. 129(2):394e-396e, 2012) suggests that replacing the nail is associated with increased complications, in particular post-operative infection. Nail bed INJury Assessment Pilot (NINJA-P) is an external pilot study for a large pragmatic, multicentre, randomised, controlled study (NINJA) to assess whether the nail should be replaced or discarded after nail bed repair in children under the age of 16.NINJA-P is a randomised pilot study. The participants are patients below

2016 Pilot and feasibility studies Controlled trial quality: uncertain

17. Conservative management of penetrating ocular trauma caused by a nail gun Full Text available with Trip Pro

Conservative management of penetrating ocular trauma caused by a nail gun To report the conservative management of a penetrating ocular trauma caused by a nail gun with a six-month follow up.A 21 year-old healthy female suffered an ocular penetrating trauma with a nail gun. She presented with a metallic foreign body that partially entered her left eye through the nasal sclera via pars plana, 3 mm posterior to the limbus, but did not reach the retina. Surgical removal of the foreign body (...) and closure of the scleral wound, without vitrectomy, was performed 16 h after the injury. Intravitreal prophylactic antibiotic was administered. Retinal atrophy developed in the areas that had commotio retinae at presentation, but no further complications were observed.and Importance: Pars plana vitrectomy may not be necessary in all penetrating ocular traumas with intraocular foreign body, as long as the foreign body is accessible from the exterior of the eye and there are no other conditions

2018 American journal of ophthalmology case reports

18. Intramedullary nailing of forearm shaft fractures by biodegradable compared with titanium nails: Results of a prospective randomized trial in children with at least two years of follow-up. (Abstract)

Intramedullary nailing of forearm shaft fractures by biodegradable compared with titanium nails: Results of a prospective randomized trial in children with at least two years of follow-up. There are disadvantages in Elastic Stable Intramedullary Nailing (ESIN) of forearm-shaft fractures, such as the need of implant removal. Biodegradable Intramedullary Nailing (BIN) is a new technique developed for these fractures. We hypothesized that there is no difference in rotational ROM between (...) the patients treated by BIN vs. ESIN. A randomized, controlled clinical trial included patients, aged 5-15 years, requiring surgery for forearm-shaft fractures. Biodegradable polylactide-co-glycolide (PLGA) nails (Activa IM-Nail™, Bioretec Ltd., Finland) were used in 19 and titanium nails (TEN®, SynthesDePuy Ltd., USA) in 16 patients. Rotational ROM of forearm after two years was the primary outcome. Elbow and wrist ROM, pain and radiographic bone healing were secondary outcomes. Forearm rotation was mean

2018 Biomaterials Controlled trial quality: uncertain

19. Recommendation of use of checklists in tibial intramedullary nail removal: Retrospective study of mechanical complications related to nail removal. Full Text available with Trip Pro

Recommendation of use of checklists in tibial intramedullary nail removal: Retrospective study of mechanical complications related to nail removal. The removal of implants such as intramedullary nails is one of the most common operations in orthopedic surgery. The indications for orthopedic implants removal will always remain a subject of conversation and hardly supported by literature. The aim of this study to report injuries of treatment in tibial nail removal and to determine (...) if there are fracture characteristics, patient demographics, or surgical details that may predict a complication.This is a retrospective seven-year (2010-2016) study including a total of 389 tibial intramedullary nail removals at the Helsinki University Hospital's orthopedic unit. Patients with tibial fracture and removal of intramedullary nail were identified from the hospital discharge register and analyzed.A total of 21 (5,4%) nail removal related mechanical complications (iatrogenic fractures, nerve injuries

2018 Injury

20. Fungal nail infection

involvement. Difficulties walking, exercising, and fitting of shoes with toenail involvement. Secondary fungal infection — infected nails may act as a reservoir with potential for spread to other body sites. See the CKS topics on , , and for more information. Secondary bacterial infection and cellulitis — especially in older people and those with co-morbid conditions such as diabetes mellitus, peripheral arterial disease, or Raynaud's phenomenon. See the CKS topic on for more information. Injury (...) Fungal nail infection Fungal nail infection - NICE CKS Share Fungal nail infection: Summary Fungal nail infection (onychomycosis) can involve any part of the nail, or the entire nail unit including the nail plate, nail bed, and root of the nail. The nail unit may discolour, the nail plate distort, and the nail bed and adjacent tissue may thicken. Toenails are seven times more likely to be affected than fingernails. Infection is caused by dermatophyte and non-dermatophyte moulds, and yeasts

2018 NICE Clinical Knowledge Summaries

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