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[指甲外伤,是什么?以及如何治疗?]

[Nail trauma, what is it? and how to treat it?].

作者信息

Martínez Núñez P, Ruiz Alonso E, Maya González J A, Pérez González M

机构信息

Servicio de Cirugía Plástica reparadora y estética, Hospital Universitario de Burgos (HUBU), Burgos, Castilla y León, España.

Servicio de Cirugía Plástica reparadora y estética, Hospital Universitario de Burgos (HUBU), Burgos, Castilla y León, España.

出版信息

Semergen. 2020 Mar;46(2):140-144. doi: 10.1016/j.semerg.2019.05.007. Epub 2019 Aug 2.

Abstract

The nail plate is a layer of keratin that protects the back of the ends of the fingers and toes. It is a system with many important functions, since it stabilises the distal portion of the finger and toe and provides resistance to the fleshy part, thus contributing to the handling of small objects and fine sense of touch. Nail injuries are a reason for visits to Emergency Departments and Primary Care, representing up to 8% of hand emergencies. The inappropriate treatment of these injuries can lead to important aesthetic and functional sequelae. These can be very complex even to correct later (dystrophic nails, decrease in discrimination between 2 points…). The 2 most common lesions are subungual haematoma and subungual avulsion, with their different degrees of adjacent bone involvement.

摘要

指甲板是一层角蛋白,可保护手指和脚趾末端的背面。它是一个具有许多重要功能的系统,因为它稳定手指和脚趾的远端部分,并为肉质部分提供阻力,从而有助于处理小物体和精细的触觉。指甲损伤是急诊室和初级保健就诊的原因之一,占手部急诊的8%。这些损伤的不当治疗可能导致重要的美学和功能后遗症。即使以后纠正也可能非常复杂(指甲营养不良、两点辨别力下降……)。最常见的两种损伤是甲下血肿和甲下撕脱,伴有不同程度的相邻骨受累。

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