The Burden of Fingertip Trauma on the US Military.

Hand Clin · Feb 2021 · Review

Wells ME, Scanaliato JP, Kusnezov NA, Nesti LJ, Dunn JC

Department of Orthopaedic Surgery, William Beaumont Army Medical Center, 5005 North Piedras Street

Hand & Upper Extremity Orthopaedic Trauma

SUMMARY — THE REDUCTIONOverview of fingertip injuries in the US military, covering nail bed repair, soft tissue coverage, length-preserving revision amputation, and return-to-duty considerations, with antibiotics often used in deployed settings.
Abstract, as published

Fingertip injuries in the military are common and often hinder the fighting force and support personnel. Injuries range from small subungual hematomas to proximal finger amputations. Treatment modalities are dictated by injury patterns, anatomic considerations, and the need to return to duty. Nail bed injuries should be repaired when possible and exposed bone or tendon is treated with appropriate soft tissue coverage. If soft tissue coverage is unobtainable, revision amputation should be performed with attention given to maintaining as much finger length as possible. Antibiotics may not be required, however they are often utilized in the deployed setting.

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