Nail Bed Injury

Abstract

This chapter provides a summary of nailbed injuries and outlines reconstructive algorithms and options for repair. Fingertip injuries, which are often associated with nail bed damage, are one of the most common injuries to the upper extremity. Successful treatment of such injuries requires an understanding of the anatomy, function, injury extent, and mechanism, as well as of the techniques available for reconstruction. Surgical judgment also comes into play, incorporating factors such as medical history, occupation, age, hand dominance, and expected outcome for the degree of damage. The authors provide tips for efficient set up and management of fingertip and nailbed injuries in the emergency room.