Fingertip and nail bed injuries.

Nail bed and fingertip injuries are commonly seen in the Emergency Department. Each of these injuries must be evaluated carefully not only for the acute situation but for the possible long-term effects. Nail bed injuries must be appropriately diagnosed and treated initially because a secondary repair is often unsatisfactory. Fingertip injuries must provide the patient with a sensitive fingertip with sufficient length for effective use of the finger. The initial care and treatment are vital for the best patient outcome.