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Extra-fine insulin syringe needle: an excellent instrument for the evacuation of subungual hematoma.

BACKGROUND: The most commonly used treatment method for subungual hematoma is nail trephining, which has some disadvantages.

OBJECTIVE: To introduce a very simple and well-tolerated treatment technique for this common problem.

METHODS: We used an extra-fine, 29-gauge insulin syringe for evacuation. We inserted the needle very close to the nail plate to minimize pain. We drained the blood from the hyponychium under the nail plate using this extra-fine needle.

RESULTS: The technique described herein is very fast and simple, and the patients tolerate it well. It is particularly successful for the treatment of smaller subungual hematomas of the second, third, and fourth toenails, in which the trephining is harder.

CONCLUSION: For these reasons, we suggest this technique as a practical alternative to the traditional nail trephining methods.

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