II. Management
- Distal Subungual Foreign Body
- Trim nail
- Grasp foreign body with forceps and extract
- Observe for Subungual Hematoma from Nail Bed Laceration
- Proximal Subungual Foreign Body
- Digital Block
- Elevate nail with Freer elevator (avoiding nail bed injury)
- Attempt to grasp foreign body and extract without nail removal
- If unable, See Nail Removal
- May remove half the nail plate to access the foreign body if needed
- Repair Nail Bed Laceration if present
III. References
- Lin, Gajendran and Orman in Herbert (2016) EM:Rap 16(11): 7-8