Surgery Book

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Finger Laceration

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  1. See Also
    1. Finger Wound Hemostasis
  2. Anesthesia: Metacarpal Block
    1. See Digital Block
  3. General principles
    1. Control bleeding
      1. See Finger Wound Hemostasis
    2. Retain the nail
      1. Acts as a splint
      2. Protects nail bed
    3. Reattach partially avulsed nails
      1. Hold in place with a 1-2 Sutures through nail
    4. Repair nail bed when possible
      1. Chromic 6-0 (or other Absorbable Suture)
      2. Replace nail if removed for bed repair
    5. Preserve finger length
      1. Critical for thumb, index, and middle finger function
    6. Treatment of finger injury is directed at coverage
      1. Do not close major wounds by secondary intention
        1. Epithelization is delayed 12 weeks
        2. Results in thin, tender overlying skin
    7. Repair tendon injuries
      1. Consult orthopedics if unable to repair injury
      2. Protect wound site if repair at other facility
        1. See Wound Dressing for Transport
  4. Types of Closure
    1. Simple
      1. Keep scar line on dorsal surface as much as possible
        1. Prevents a tender scar
      2. Never trim dog ears (may compromise healing)
    2. Epithelialization (Healing by Secondary Intention)
    3. Free Grafts
    4. Flap Grafts
      1. Occassionally used by experienced surgeon)
      2. Indicated when subcutaneous tissue needed
        1. Grafting over bone or tendon

Laceration of finger (C0432981)

ConceptsInjury or Poisoning (T037)
EnglishLaceration of finger
Spanishlaceracion de dedo de la mano
Parent ConceptsFinger Injuries (C0016124), Laceration (C0043246), Laceration of hand (C0432975)
SourcesSCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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