Subungal Haematoma: Trephine drainage versus non-drainage
Date First Published:
June 22, 2005
Last Updated:
October 15, 2005
Report by:
Mr. H Dardouri, #NAME? (Blackburn Royal Infirmay)
Search checked by:
Zia Hassan, Blackburn Royal Infirmay
Three-Part Question:
[Patient with subungal hematoma]does [trephine drianage veruse non -trephine drainge] improve [ pain severity]
Clinical Scenario:
A 51 year old female patient attends the emergency department with a history of ally trapped her right index finger in a door and developed subungual haemotoma. X-ray was done showed no bony injury. The skin and nail bed margin were intact. You wonder is it safe to simple trephining drainage this subungal haematoma to reduce the pain severity
Search Strategy:
Medline using the OVID interface 1996-09/05.
[Exp hematoma OR haematoma$.mp OR exp subungual haemotoma OR subungual haematoma.mp] And [Exp hematoma OR haematoma$.mp OR exp subungual haemotoma OR subungual haematoma.mp] limit to human and English.
[Exp hematoma OR haematoma$.mp OR exp subungual haemotoma OR subungual haematoma.mp] And [Exp hematoma OR haematoma$.mp OR exp subungual haemotoma OR subungual haematoma.mp] limit to human and English.
Search Details:
Medline using the OVID interface 1996-09/05.
[Exp hematoma OR haematoma$.mp OR exp subungual haemotoma OR subungual haematoma.mp] And [Exp hematoma OR haematoma$.mp OR exp subungual haemotoma OR subungual haematoma.mp] limit to human and English.
[Exp hematoma OR haematoma$.mp OR exp subungual haemotoma OR subungual haematoma.mp] And [Exp hematoma OR haematoma$.mp OR exp subungual haemotoma OR subungual haematoma.mp] limit to human and English.
Outcome:
Altogether 8 papers found of which none were relevant to the original question
Author Commentary:
Despite the fact that many emergency doctors hold firm views about simple trephining drainage is better than non-trephining drainage in subungual haemotoma but there is no published evidence to inform a decision.
Bottom Line:
Local advice should be followed