Children's Hospital Colorado

Fingertip Fracture and Injury Management Clinical Pathways

Fingertip Fracture and Injury Management clinical pathway provides guidance on the evaluation and treatment of patients with acute nail bed injuries with and without fracture. 

Fingertip injuries involving the nailbed are common hand injuries in children in acute care settings. 

Pathway Objectives:

  • Standardization of evaluation and management of acute fingertip injuries
  • Guidance for nail bed repair, immobilization, antibiotic management, consultation and follow-up for a variety of nail bed injuries. 

Fingertip fracture and injury management clinical pathway

About our fingertip fracture and injury management clinical pathways

Fingertip Fracture and Injury Management Pathway offers best practice recommendations for patients seen in acute care settings with nail bed injuries with or without associated fractures. 

The pathway uses the best available evidence to offer a standardized approach for diagnosing and treating common fingertip injuries.  

Our multidisciplinary team created This pathway, including experts from emergency medicine, orthopedic surgery, radiology and pharmacy. 

Highlights include: 

  • Management plan for nail bed injuries with and without fracture
  • Nail bed repair guidance 
  • Immobilization
  • Antimicrobial therapy guidance 
  • Criteria for orthopedic consultation 
  • Disposition and follow-up guidance 

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