Presentation
Injury 14 days ago, increased pain and discharge ?foreign body
Patient Data
Age: 20 years
Gender: Male
From the case:
Subungual air entrapment
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/154151/annotated_viewer_json?_c=1725025373\u0026lang=us"}
Postacute comminuted fracture at the terminal tuft of the middle phalanx.
Extensive subungual air entrapment.
Subtle periostitis and bone loss, which may be related to fracture healing.
However, osteomyelitis cannot be excluded.
Case Discussion
Postacute fractures are considered after 14 days, subacute 5 to 14 days, acute 0 to 5 days.1
Subungual air entrapment, refers to the gas/air trapped beneath the nail bed, which can cause infection.
Often this type of fracture is considered 'open' for this reason.