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Part 10 > Chapter 138　Foreign Body Beneath Nail

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英語ページ オーディオ
著者：Philip M. Buttaravoli and Kevin J. Brochu
 
Abstract
Subungual foreign bodies are common and painful injuries. Not all splinters require removal, and indications are discussed. Four different techniques are presented that are available options for splinter removal.
 
Keywords
foreign body beneath nail
hemostat technique
nail shaving technique
needle extraction technique
paint chip under fingernail
partial nail removal technique
partial nail removal
sliver under fingernail
splinter beneath fingernail
Splinter
subungual foreign body

Presentation  
    The patient complains of a paint chip or wooden sliver under the nail. Due to high sensory nerve density, these injuries are often quite painful. Most subungual foreign bodies are completely visible and are lodged under the distal portion of the nail. Occasionally, a wooden sliver will be large and deeply embedded over the proximal germinal matrix.
     
    Often the patient has unsuccessfully attempted to remove the foreign body, which has broken off and could not be grabbed using household tweezers.
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