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Splinting options

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

Dorsal splint versus palmar splint

Using a dorsal splint has the advantage of leaving the patient with the ability to pinch while the digit is immobilized.

However, proponents of palmar splintage argue that the palmar aspect is better cushioned than the dorsal and, thereby, can tolerate the splint better.