Subungual exostectomy is a surgical procedure that involves the removal of a bony growth (exostosis) located beneath the nail (subungual) of a finger or toe. This condition often causes pain, discomfort, and can lead to nail deformities. The surgery aims to alleviate symptoms by excising the abnormal bone while preserving the surrounding soft tissue and nail structure. Patients typically experience improvement in pain and nail function following the procedure.
underneath a toenail or fingernail (black toenail)
Subungual Hematoma
The medical term for an incision into the nail is "onychotomy." This procedure may be performed to treat conditions affecting the nail or to relieve pressure from a subungual hematoma. It is often done in cases of ingrown toenails or other nail-related issues.
A subungual hematoma is blood trapped under a nail. By the next day, it has the characteristic black or very dark blue appearance. It's the familiar "black nail" after whacking your finger with a hammer, for instance. Getting attention within hours of the accident can reduce pain and swelling; after the blood clots, however, the affected person just needs to wait until the swelling goes down naturally.
The steps involved in performing a timed 5 minute surgical scrub include removal of all jewelry, cleaning hands using anitmicrobial soap, cleaning subungual areas, and scrubbing the arms.
When you hit your nail with a hammer, the condition is commonly referred to as a "nail injury" or "subungual hematoma" if blood collects under the nail. This can cause pain, swelling, and discoloration. In severe cases, it may lead to the nail falling off or require medical attention.
A blackened nail on the second toe could be due to various reasons such as injury, fungal infection, blood clot under the nail (subungual hematoma), or underlying health issues like diabetes or poor blood circulation. It's recommended to consult a doctor for proper diagnosis and treatment.
Air pockets under the fingernails, also known as subungual hematomas, are often caused by trauma to the nail bed. This trauma can be due to repetitive activities like typing or sports activities. It can also be the result of a sudden injury such as slamming your finger in a door or dropping something heavy on it.
The surgical removal (ablation) of the fingernail or toenail is referred to as an Onychectomy or onychotomy. Hopefully the nail will regrow in a normal fashion.When part or all of the nail bed (matrix) is removed, whether through surgery or chemical means, the procedure is called a Matrisectomy or matrixectomy. This permanently prevents the nail from regrowing.
Darkening of the fingernails can be caused by various factors, including trauma or injury to the nail bed, leading to bruising or subungual hematomas. It can also result from fungal infections, certain medical conditions like melanoma, or the use of specific medications. Additionally, exposure to certain chemicals or dyes may contribute to discoloration. If darkening occurs without an apparent cause, it’s advisable to consult a healthcare professional for evaluation.
A painless and small subungual hematoma usually requires no treatment. However, the pressure generated by pooled blood under the nail can be extremely painful. To relieve the pain, you may get decompression, also called trephination, which allows the underlying blood to drain, relieving pressure and pain to the area.
Black toenails can be a sign of injury or trauma to the toe, causing blood to accumulate underneath the nail (subungual hematoma). This can also occur due to repetitive stress or ill-fitting shoes. In some cases, it could indicate a fungal infection. It is recommended to consult a healthcare provider for a proper diagnosis and treatment.