Cracked Nail After Injury: When to Seek Dermatological Help?

Q: Cracked Nail After Injury: When to Seek Dermatological Help?

Hello： Based on your description, the crack in your nail appears to be transverse at the distal end and does not affect the proximal nail bed, indicating that the nail matrix is intact. <br>Therefore, it will not impact the growth of new nails. <br>Additionally, the edges of the

The nail is split down the middle?

Last December, my middle finger was injured by a heavy object, resulting in bruising and swelling, but there was no open wound.
The nail also showed signs of purple bruising.
Now, the nail on that finger has developed a horizontal crack about one-third of the way across, with approximately two-thirds of the width cracked, and the edges of the broken nail are slightly lifted.
Should I let it continue to crack completely, or should I seek medical treatment promptly? Will the complete loss of the nail affect the growth of the new nail in the future?

Wei, 20~29 year old female. Ask Date: 2012/03/11

Dr. Lin Xinpeng reply Dermatology

Hello: Based on your description, the crack in your nail appears to be transverse at the distal end and does not affect the proximal nail bed, indicating that the nail matrix is intact.
Therefore, it will not impact the growth of new nails.
Additionally, the edges of the crack are slightly lifted.
If there is no severe pain or impact on your daily life, it is generally recommended to manage this conservatively.
You can cover the damaged area of the nail and allow the nail to grow out, gradually pushing the cracked part out for trimming.
If the nail continues to crack, it is advisable to consult a dermatologist or a surgical clinic for further evaluation and treatment.

Reply Date: 2012/03/11

More Info

When dealing with a cracked nail after an injury, it is essential to understand the implications of the injury and the potential need for medical intervention. Given your description of the injury, where the nail was previously bruised and is now cracked, there are several factors to consider.

Firstly, it is important to assess the extent of the injury. A nail that is cracked and has a portion that is raised or lifted can be susceptible to further damage and infection. If the crack is deep and extends into the nail bed, it could lead to complications such as ingrown nails or chronic pain. Additionally, if the nail is partially detached, it may not grow back properly, which can affect the appearance and function of the nail in the future.

In general, if you notice any of the following symptoms, it is advisable to seek dermatological help:
1. Pain or Discomfort: If the cracked nail is causing significant pain or discomfort, it is a sign that you should consult a healthcare professional. Pain can indicate that the injury is more severe than it appears.

2. Signs of Infection: Look for symptoms such as redness, swelling, warmth, or pus around the nail. These signs indicate that an infection may be present, which requires prompt treatment.

3. Nail Bed Exposure: If the crack is deep enough that the nail bed is exposed, it is crucial to seek medical attention to prevent infection and to receive appropriate care.

4. Difficulty in Daily Activities: If the injury is affecting your ability to perform daily tasks, such as typing or gripping objects, it may be time to see a doctor.

5. Concern About Nail Growth: If you are worried about how the injury will affect the growth of your new nail, a dermatologist can provide guidance and treatment options to ensure proper healing.

Regarding your concern about the impact of a completely broken nail on future nail growth, it is possible that a severely damaged nail can lead to irregularities in the new nail as it grows back. The new nail may be weaker, discolored, or have an abnormal shape. In some cases, if the nail matrix (the tissue under the base of the nail) is damaged, it can affect the growth of the nail permanently.

In conclusion, while minor cracks in nails can sometimes heal on their own, your situation seems to warrant a visit to a dermatologist. They can assess the injury, provide appropriate treatment, and offer advice on how to care for the nail as it heals. Early intervention can help prevent complications and ensure that your nail grows back as healthily as possible. Remember, taking care of nail injuries promptly can save you from more significant issues down the road.

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