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3Release of subungual hematoma

The hematoma can be easily released by perforating the nail bed with a red-hot needle, or paperclip.

Closed crush injuries are often accompanied by subungual hematoma which can be exceedingly painful due to the pressure within the closed space.
The hematoma can be easily released by perforating the nail bed with a red-hot needle, or paperclip.
If no further treatment is indicated, the foot should be fixed in a cam walker to avoid any strain due to motion of the long flexor and extensor tendons.