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Am Fam Physician. 2002;65(10):1997

to the editor: The article “Fingertip Injuries”1 suggests that the appropriate treatment of a subungual hematoma with a distal tuft fracture is decompression with “two to three weeks of splinting.” I was taught not to open the subungual hematoma in the presence of a fracture because this would convert a simple closed fracture to an open fracture and thus complicate management. I was also instructed by an orthopedist that, in his opinion, such management was tantamount to malpractice. Was I instructed incorrectly?

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This series is coordinated by Kenny Lin, MD, MPH, deputy editor.

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