Plantar nail puncture wounds 족저 못 자상(발바닥 못 자상)

Overview of plantar nail cuts (plantar nail cuts)

A wound caused by stabbing the sole of the foot with an impure nail is called a plantar nail cut (foot nail cut).

Pseudomoas aeruginosa (Pseudomoas aeruginosa) bacterial infection causes

Pseudomonas cellulitis on the feet in about 2-10% of plantar nail cuts.

The skin layers, muscles, tendons, synovial membranes, and foot bones of a nail-pricked foot can be damaged by plantar cuts.

The skin, muscles, tendons, synovium, and foot bones of the plantar wound can be infected with bacteria such as streptococcal infection, staphylococcus infection, or Pseudomonas aeruginosa (Pseudomonas aeruginosa).

In particular, Pseudomonas aeruginosa infections in the tendon, synovium, bone and cartilage, and foot bones of the plantar nail stab wound can lead to foot chondritis, foot tendon synovitis, foot bone osteomyelitis, and foot bone arthritis.

Symptoms Signs of a plantar nail cut (plantar nail cut)

When a puncture plantar nail cut is infected with bacteria and the foot festers, it is usually much more painful and swelling than the pain arising from a non-infectious puncture plantar nail cut.

When a punctured plantar nail cut is festered, it is common that the plantar nail cut is warmer and it hurts severely even if the wound is lightly pressed with a finger.

If the cut in the neck is severely festered, it is difficult to actively move that foot.

Treatment of plantar nail cuts (plantar nail cuts)

If the foot is stabbed in a dirty nail, and then the plantar nail stab wound is severely festered, so that cellulitis or osteomyelitis of the foot bones develops, you should be admitted to a hospital as much as possible and treated with intravenous antibiotics.

If the stabbed object such as thorns, wood chips, and small nails is stuck on the skin surface, skin layer, or subcutaneous tissue of the cut wound, pull it out and wash the plantar cut wound with soapy water or wash it with soapy water and wash more with betadine disinfectant.

Then remove the stabbed object with tweezers.

There is debate about whether or not prophylactic treatment with antibiotics is used, but it is common to use antibiotic prophylactic treatment for deep plantar nail cuts.

Antibiotics are also recommended for prophylactic treatment of stabbed plantar nails wearing tennis shoes (tennis sneakers).

If it is suspected that a bacterial infection has occurred on the plantar nail stab, it can be treated with antibiotics such as Dicloxacillin and Ciprofloxacin.

Treatment of plantar nail cuts with topical antibiotic ointment (Source; NEJM; September 2008 p.1037).

If it is suspected that there is a foreign object in the plantar cut, it should be checked with an X-ray photo of the plantar wound, an ultrasound or a CT scan.

For reference, if the additional mention is made here regarding the treatment of burns, cuts, abrasions, and cuts, if you suffer from trauma such as burns, cuts, abrasions, and cuts, you will be vaccinated against tetanus with a tetanus vaccine as needed. In the event of a trauma, you should always know if you should be vaccinated against tetanus with a tetanus vaccine.

When a large amount of blood is bleeding from a cut wound caused by stabbing a frozen part of the body with a large object, place a finger or palm directly on the bleeding area and press forcefully to stop the bleeding or the arterial blood vessels that supply blood to the cut off body part.

You can stop bleeding by pressing tightly on the part of the body with your hand, or by using a tourniquet to compress the part of the body with blood vessels that supply blood to the wound.

At the same time, at the scene of the accident, the first such treatment is performed, while emergency calls are made to the hospital’s emergency room, medical paramedics, and regular pediatrics departments to continue follow-up emergency treatment according to their instructions.

The following is an example of the Internet pediatric and adolescent health counseling question and answer for “Inquiry for Wound Treatment”.

Q&A.

Inquiries about wound treatment

The child fell on the street and her face was scratched.

She’s next to her eyes, so I’m worried that she might get hurt because she’s a girl again.

First, I’m applying Madekasol.

The pharmacy gave me anti-inflammatory drugs, so I also feed them.

Should I go to the hospital?

I’m worried that the most worrying thing is that it’s ugly.

If I go to the hospital, do I have to go to the dermatologist?

Please answer fast.

Jinyi Hello.

Thanks for the great question.

The more information you know about your child’s age, gender, past medical history, family medical history, medical examination findings, and clinical examination, the more helpful it is to give you an answer.

We will respond by taking the information you provided into consideration.

The method of treating a wound differs depending on the type of trauma, such as abrasion, laceration, cut, and strain, the severity of the wound, and the condition of the wound. In general, mild abrasions or lacerations are naturally healed by washing them thoroughly with soapy water, sterilizing the wounds with betadine disinfectant, covering them with sterile gauze or disposable band-aids, and observing them for 3 to 4 days.

In the United States, this kind of in-home emergency care is usually for parents to call a regular pediatrician and, as directed by the parent, to provide primary emergency care at home.

Of course, you get treatment for free.

When you suffer from abrasions, lacerations, or cuts, you should get a tetanus vaccine as needed.

Treatment of trauma wounds, such as abrasions, lacerations, cuts, and strains, is sometimes complicated.If a trauma wound occurs, call a regular pediatrician for counseling, or take the child directly to the pediatrics department or hospital emergency room.

It is ideal to be treated there.

There are no medicines and no medicines to take to heal wounds caused by trauma faster.

There are no drugs to be applied to prevent scarring, and there are no special drugs to eat.

The key to making the wound heal faster and less scarring (the key) is to seek appropriate treatment from a doctor after a traumatic wound.

Of course, it is also important for parents to do the proper treatment at home according to the doctor’s instructions. In general, minor trauma wounds are treated at home by parents or at a pediatrics department. Please refer to abrasions, lacerations, cuts, and left injuries.

Please consult with the Department of Pediatrics and Adolescents after receiving medical examination and treatment. If you have more questions, please contact us again. Thank you. Lee Sang-won., MD

출처 및 참조 문헌

Childhood Emergencies in the Office, Hospital and Community, American Academy of Pediatrics
Emergency Medical Service for Children, By Ross Lab. May 1989. p.10
Emergency care, Harvey grant, and Robert Murray
Emergency Care Transportation of Sick and Injured American Academy of Orthopaedic Surgeons
Emergency Pediatrics A Guide to Ambulatory Care, Roger M. Barkin, Peter Rosen
Immediate care of the acutely ill and injured, Hugh E. Stephenson, Jr
The Critically Ill Child, Diagnosis and Management, Edited by Clement A. Smith
Emergency Medical Services for Children: The Role of the Primary Care Provider, America Academy of Pediatrics
Quick Reference To Pediatric Emergencies, Delmer J. Pascoe, M.D., Moses Grossman, M.D. with 26 contributors
Manual of Emergency Care 응급환자관리 정담미디어
소아가정간호백과–부모도 반의사가 되어야 한다, 이상원
Neonatal Resuscitation American heart Association
Neonatology Jeffrey J.Pomerance, C. Joan Richardson
Pediatric Resuscitation Pediatric Clinics of North America, Stephen M. Schexnayder, M.D.
Pediatric Critical Care, Pediatric Clinics of North America, James P. Orlowski, M.D.
Preparation for Birth. Beverly Savage and Dianna Smith
Nelson Textbook of Pediatrics 14th ed. Beherman,
The Johns Hopkins Hospital, The Harriet Lane Handbook, 18th edition
Red book 29th-31st edition 2021
Nelson Text Book of Pediatrics 19th-21st Edition
Infectious disease of children, Saul Krugman, Samuel L Katz, Ann A. Gershon, Catherine Wilfert
The Harriet Lane Handbook 19th Edition
소아과학 안효섭 외 대한교과서
제1권 소아청소년 응급의료 참조문헌과 출처
Other

“부모도 반의사가 되어야 한다”-내용은 여러분들의 의사로부터 얻은 정보와 진료를 대신할 수 없습니다.

“The information contained in this publication should not be used as a substitute for the medical care and advice of your doctor. There may be variations in treatment that your doctor may recommend based on individual facts and circumstances. “Parental education is the best medicine.”