Insights & Injuries:

A blog by Dr. Dolf R. Ichtertz, Nebraska Hand & Shoulder Institute

The Dr.
Sterile Super Glue16 March, 2014
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Sterile Super Glue vs. Suture Repair for a Nail Bed Injury

Crushing of one’s fingertip can lead to unsightly deformity of the nail or loss of nail altogether.  If the end bone or tuft of the finger or thumb is broken and the bone displaced, rupture of the nail bed is pretty much guaranteed.  If just broken or slightly crushed at the very tip, typically the nail bed is not involved.  Elevation of the nail off of the sterile matrix (nail bed) allows direct suture repair under magnification usually with dissolving sutures, but a prospective randomized controlled trial of sterile super glue (DermaBond) was published in the Journal of Hand Surgery in February 2008 by Dr. EJ Strauss, et al.  Use of the DermaBond was fast and provided a similar cosmetic result.  If you crush your finger badly, make sure attention is given to the nail bed to avoid unsightly deformity or snagging of the nail on clothing, etc. It is easier to treat it early and get a good result than to try and reconstruct it later. 

Patient Satisfaction with treatments for Dupuytren's Disease

Collagenase rather than Surgery - that is the question

Computers and CTS - Is there an association?

Review of a recent study on the use of computers and the development of carpal tunnel syndrome.

Nebraska Hand and Shoulder Institute, P.C.

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Nebraska Hand and Shoulder Institute, P.C.