Broken Nail Bed
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Any type of pinching, crushing or sharp cut to the fingertip may result in a nail bed injury. Simple crushes of the fingertip may result in a very painful collection of blood under the nail. More severe injuries can result in the nail cracking into pieces, part of the nail or fingertip being torn off, and/or other injuries to the finger.
Trauma may cause scarring in various directions in the nail bed - longitudinal, oblique or transverse. If the scar is very narrow adherence may not be a problem but if it is wide it results in non-adherence. In these cases the nail is removed and the scar assessed. If it is narrow it can be excised and tension free closure of nail bed can be done.
Discoloration or a bruise under the nail covers more than a quarter of the nail or there is continuing, intense pain. Nail Bed Injuries." Children's Hospital, Denver: "Finger Injury."