{"id":3007,"date":"2015-07-10T10:01:26","date_gmt":"2015-07-10T10:01:26","guid":{"rendered":"http:\/\/old.institutcataladelpeu.com\/en\/?p=3007"},"modified":"2016-10-21T09:43:30","modified_gmt":"2016-10-21T09:43:30","slug":"the-subunguinal-hematoma-causes-and-treatment","status":"publish","type":"post","link":"https:\/\/old.institutcataladelpeu.com\/en\/the-subunguinal-hematoma-causes-and-treatment\/","title":{"rendered":"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT"},"content":{"rendered":"<div style=\"text-align: justify;\">\n<p>We call subunguinal hematoma the accumulation of blood under a nail, whether on the foot or the hand.Its main features are inflammation, pain, discolouration of the nail to a reddish or purple hue and tenderness.<\/p>\n<p>There are numerous causes. These are mainly traumatic (shoes, impacts, etc.) and, a lesser degree, treatments with anticoagulants, chemotherapy or autoimmune diseases.<\/p>\n<p>It is characterised by broken capillary vessels of the nail bed causing a hemorrhage which remains deposited between the nail bed and the nail. This extravasation of the blood creates some pressure on the adjacent tissue and thus, pain. Sometimes the pressure exerted by the hematoma breaks through the epidermis and causes a spontaneous drainage.<\/p>\n<p>In severe trauma it is important to x-ray the toe to assess the presence or abscence of a fracture of the phalanx.<\/p>\n<p>When faced with a subunguinal hematoma several treatments can be applied:<\/p>\n<ul>\n<li>Perforation of the nail with small holes to drain the accumulated blood under the nail plate. It must be done in the early stages with the aim of preventing further detachment of the nail plate.<\/li>\n<li>Partial or total exeresis of the nail provided there is an evulsion of the nail bed due to traumatism. We remove part of the nail once its anomalous movement is assessed and the possible disorders we believe its conservation may cause a posteriori.<\/li>\n<\/ul>\n<p>The nail is affected by traumatism it can cause indefinite deformities of the new nail.<\/p>\n<p>The absence of the nail plate over a period of time can help the development of fungal infections.<\/p>\n<p>In the days after the appearance of the subunguial hematoma, anatomical shoes must be worn that so as not traumatise the nail more. It is also important to cut the nail in order to prevent accidental avulsion of the nail.<\/p>\n<p><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/07\/P90524631.jpg\"><img  title=\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT\" loading=\"lazy\" decoding=\"async\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/07\/P90524631.jpg\"  alt=\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT\"  width=\"768\" height=\"576\" \/>Bilateral subunguinal hematoma<\/a><\/p>\n<p><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/07\/IMG_9821.jpg\"><img  title=\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT\" loading=\"lazy\" decoding=\"async\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/07\/IMG_9821.jpg\"  alt=\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT\"  width=\"585\" height=\"476\" \/>Blue-violet colour typical of a recent traumatism<\/a><\/p>\n<p><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/07\/DSC008281.jpg\"><img  title=\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT\" loading=\"lazy\" decoding=\"async\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/07\/DSC008281.jpg\"  alt=\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT\"  width=\"734\" height=\"550\" \/>Subunguinal hematoma at an acute stage<\/a><\/p>\n<p><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/07\/IMG_9820.jpg\"><img  title=\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT\" loading=\"lazy\" decoding=\"async\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/07\/IMG_9820.jpg\"  alt=\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT\"  width=\"652\" height=\"801\" \/>Immobilisation. It ma sometimes be accompanied by the fracture of the phalanx.<\/a><\/p>\n<p><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/07\/DSC019631.jpg\"><img  title=\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT\" loading=\"lazy\" decoding=\"async\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/07\/DSC019631.jpg\"  alt=\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT\"  width=\"734\" height=\"550\" \/>Symmetrical subunguinal hematoma (typical of shoes).<\/a><\/p>\n<p><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/07\/DSC012441.jpg\"><img  title=\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT\" loading=\"lazy\" decoding=\"async\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/07\/DSC012441.jpg\"  alt=\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT\"  width=\"734\" height=\"550\" \/>Front drainage of a subunguinal hematoma<\/a><\/p>\n<p><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/07\/DSC027481.jpg\"><img  title=\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT\" loading=\"lazy\" decoding=\"async\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/07\/DSC027481.jpg\"  alt=\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT\"  width=\"734\" height=\"550\" \/>Cut and cure of an avulsion of the nail plate.<\/a><\/p>\n<p><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/07\/P91125241.jpg\"><img  title=\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT\" loading=\"lazy\" decoding=\"async\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/07\/P91125241.jpg\"  alt=\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT\"  width=\"768\" height=\"576\" \/>Blackish color due to coagulation (late stage).<\/a><\/p>\n<p><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/07\/FOTO-SUTURA.jpg\"><img  title=\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT\" loading=\"lazy\" decoding=\"async\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/07\/FOTO-SUTURA.jpg\"  alt=\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT\"  width=\"631\" height=\"468\" \/>Not a recommended technique.Attachment of the nail plate via suture.<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>We call subunguinal hematoma the accumulation of blood under a nail, whether on the foot or the hand.Its main features are inflammation, pain, discolouration of the nail to a reddish or purple hue and tenderness. There are numerous causes. These are mainly traumatic (shoes, impacts, etc.) and, a lesser degree, treatments with anticoagulants, chemotherapy or [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":6190,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[283,277,344,304],"tags":[],"class_list":["post-3007","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles-2","category-dermatological-disorders","category-icp-en","category-pathology"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT - Institut Catal\u00e0 del Peu<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT - Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"og:description\" content=\"We call subunguinal hematoma the accumulation of blood under a nail, whether on the foot or the hand.Its main features are inflammation, pain, discolouration of the nail to a reddish or purple hue and tenderness. There are numerous causes. These are mainly traumatic (shoes, impacts, etc.) and, a lesser degree, treatments with anticoagulants, chemotherapy or [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/old.institutcataladelpeu.com\/en\/the-subunguinal-hematoma-causes-and-treatment\/\" \/>\n<meta property=\"og:site_name\" content=\"Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/institutcataladelpeu\/\" \/>\n<meta property=\"article:published_time\" content=\"2015-07-10T10:01:26+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2016-10-21T09:43:30+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/06\/P90524631.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"768\" \/>\n\t<meta property=\"og:image:height\" content=\"576\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Miguel \u00c1ngel Ba\u00f1os Bernad\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@ICPeu\" \/>\n<meta name=\"twitter:site\" content=\"@ICPeu\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Miguel \u00c1ngel Ba\u00f1os Bernad\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/the-subunguinal-hematoma-causes-and-treatment\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/the-subunguinal-hematoma-causes-and-treatment\\\/\"},\"author\":{\"name\":\"Miguel \u00c1ngel Ba\u00f1os Bernad\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/#\\\/schema\\\/person\\\/d2ccc8088f9445f3e2758c2a60caf354\"},\"headline\":\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT\",\"datePublished\":\"2015-07-10T10:01:26+00:00\",\"dateModified\":\"2016-10-21T09:43:30+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/the-subunguinal-hematoma-causes-and-treatment\\\/\"},\"wordCount\":371,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/the-subunguinal-hematoma-causes-and-treatment\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/wp-content\\\/uploads\\\/2015\\\/06\\\/P90524631.jpg\",\"articleSection\":[\"Articles\",\"Dermatological disorders\",\"ICP\",\"Pathology\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/the-subunguinal-hematoma-causes-and-treatment\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/the-subunguinal-hematoma-causes-and-treatment\\\/\",\"url\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/the-subunguinal-hematoma-causes-and-treatment\\\/\",\"name\":\"THE SUBUNGUINAL HEMATOMA: CAUSES AND TREATMENT - 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