Emerg Med J 20:65 doi:10.1136/emj.20.1.65
  • Best evidence topic reports

Treatment of uncomplicated subungual haematoma

  1. Nicola Batrick, Specialist Registrar,
  2. Kambiz Hashemi, Consultant,
  3. Ramzi Freij, Consultant,
  4. K Mackway-Jones
  1. Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK; kevin.mackway-jones{at}


      A short cut review was carried out to establish whether nail removal and nail bed repair is better than simple trephining in patients with significant subungual haematoma. Altogether 312 papers were found using the reported search, of which four presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. A clinical bottom line is stated.

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