Assessment of distal phalangeal injuries of the hand
1. Clinical examination
Hand surgery involves a multi-specialty approach to the assessment, treatment, and aftercare of hand trauma. Therefore, the specialized teams should be involved early on according to the specific injury requirements.
Check the shape of the injured finger and nail
Check the size of swelling and hematoma, including subungual
Palpate for maximal tenderness and check for pain
Check active and passive range of motion
Subungual hematoma requires immediate treatment to avoid pain and subsequent infection, pulp infarction, and germinal matrix ischemia.