PMC9842872_01
Preoperative clinical photographs of the dorsal (A) and palmar (B) aspects of the patient's left middle finger.
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Clinical examination of the left middle finger revealed an ulnar-sided subungual hematoma, and an erythematous and tender fingertip (Figure 1A,B).
Anteroposterior (A) and lateral (B) view radiographs of the patient's left middle finger.
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The bone either side of the central defect was well corticated, except for the fracture at the base of the radial 'horn' (Figure 2A,B).
Clinical photograph of the patient's left middle finger after surgical removal of the nail plate.
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The patient underwent a nailbed exploration under general anesthetic, and the operation was performed by a consultant plastic hand surgeon: the nail plate was removed, and while no nailbed lacerations were identified, there was a small central nailbed sulcus (Figure 3).