title: Extra-fine insulin syringe needle: an excellent instrument for the evacuation of subungual hematoma.
abstract: 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.
  
  
  CONCLUSIONS
  For these reasons, we suggest this technique as a practical alternative to the traditional nail trephining methods.
authors.affiliation: Department of Dermatology, Mersin University, School of Medicine, 33079 Zeytinlibahce, Mersin, Turkey. tikaya@mersin.edu.tr
authors.forename: Tamer Irfan
authors.initials: TI
authors.lastname: Kaya
authors.forename: Umit
authors.initials: U
authors.lastname: Tursen
authors.forename: Kiymet
authors.initials: K
authors.lastname: Baz
authors.forename: Guliz
authors.initials: G
authors.lastname: Ikizoglu
mesh_terms: D006406:Hematoma / Q000150:complications / Q000601:surgery*; D006801:Humans; D009260:Nail Diseases / Q000150:complications / Q000601:surgery*; D009339:Needles; D013514:Surgical Procedures, Operative / Q000379:methods*