The “Finger Cut Kit” allows you to safely & easily treat most finger cuts at home, work or at play. This technique requires that the fingernail has a simple linear laceration through it. A Penrose drain clamped around the base of the finger is convenient, but other de-vices, such as a pneumatic digital sleeve, a wrist tourniquet, or a blood pressure cuff placed around the fore-arm, can also be used. The remaining sections of this article will detail treatment for various fingertip and nailbed injuries. Repair nail matrix according to the following steps: (1) Administer anesthesia with a digital block and establish a bloodless field with a Penrose drain. Fingertip injuries occur frequently because hands are used to explore surroundings. Search other sites for 'Finger Laceration' NLM Pubmed Google Websites Google Images QuackWatch Drugstore.com. Suturing isn’t the best option for the majority of digit injuries. If the tip of your finger or toe gets cut off, you need to take care of it right away. Some fingertip lacerations may involve the nail bed. The laceration is cleaned by removing any foreign material or debris. The CPT Manual categorizes laceration repair codes in to three types of repairs: Simple; Intermediate; Complex; The CPT guidelines clearly state that the repaired wound(s) should be measured and documented using centimeters regardless of whether the repair is … Animal bites are another common cause of finger injuries. Repair tendon injuries. Fingertip injuries can be divided into crushing injuries or clean amputations and can be classified based on the level of the amputation, the obliquity of the wound, and whether there is any exposed bone (Fig. Estimated blood loss was less than 0.5 mL. In bullet format, here are some principles regarding distal fingertip and nail bed injuries in general: Not all nail bed lacerations are obvious. A finger may be injured by a direct blow or cut. CPT Codes for Laceration Repair Laceration CPT Medicare 110% Medicare 120% Medicare Simple/Superficial-Scalp, Neck, Axillae, External Genitalia, Trunk, Extremities 2.5 cm or less 12001 $137.19 $150.91 $164.63 2.6 cm to 7.5 cm 12002 $145.53 $160.08 $174.64 7.6 cm to 12.5 cm 12004 $170.54 $187.59 $204.65 A direct blow to the tip of a finger can cause tendon or ligament damage, as well as fracture or dislocation of the bones. Designed by a physician, the T-RING provides immediate hemostasis while applying a fraction of the pressure applied by previously used tourniquets. A cut finger can happen quickly and without warning. Necrotic areas were trimmed off, and a layer of interrupted 3-0 Vicryl sutures was placed to repair the curvilinear laceration. Jammed finger. is a deep cut in your skin. Subungual Hematoma Nail Bed Laceration Digital Block Nail Injury Hand Injury Fingertip Amputation Wound Repair Finger Wound Hemostasis Finger Tip Injury. A dressing was applied to the area and anticipatory guidance, as well as standard post-procedure care, was explained. Surgery may also be needed to repair injuries to tendons, nerves, or bones. Unfortunately, hand injuries are very common and finger and hand injuries are the most common type of work related injury in Australia. This patient had a crushing injury to the fingertip with a laceration to the skin, disruption of the nail, and laceration of the nailbed. Your plan was to perform a bedside irrigation and debridement of the finger after digital anesthetic block and apply antibiotic ointment with a sterile dressing. The finger may also be jammed, twisted, or stretched playing sports. 27 (See Figure 5.) 25.2).The Allen Classification is commonly utilized to describe fingertip injuries and can be used as a guide for treatment. 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