If splinters are not removed, they can cause complications


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splinters are not removed
By Sanba38 – Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=6905263

If splinters are not removed, they can cause complications

Splinter injuries are common, but it can be hard and painful to get rid of bigger or deeper splinters at home. Most of the time, these splinters look like a foreign body stuck in the skin or under the skin. Whenever possible, reactive objects like wood, thorns, spines, and plant parts should be taken out right away before they cause inflammation or infection. Horizontal splinters that are close to the surface are usually easy to see or feel. A horizontal splinter is completely exposed by cutting the skin along the long axis of the splinter. The splinter is then taken out with forceps. You can get rid of a splinter under the nail by cutting a V-shaped piece out of the nail. The point of the V is where the splinter is closest to the nail bed. This is where the splinter is grabbed and pulled out, being careful not to push it deeper into the nail bed. Getting rid of a splinter that is hard to find can be challenging, and you may need to use imaging tools to help you find it. Deeper splinters, especially ones close to nerves, tendons, blood vessels, or other vital organs, should be sent to a specialist to be removed.

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If splinters aren’t taken out completely, they can cause problems like inflammation, infection, toxic reactions, and the growth of granulomas. Failure to find the foreign body has become a common reason why family doctors are sued for malpractice. Even if a foreign object is found, the doctor should make sure nothing else is left in the wound. The doctor must also be careful when he or she tells the patient that the splinter is gone for good. It might be better to tell the patient that all of the visible splinters have been removed, but there is always a chance that small pieces are still there that can’t be seen at that time.

Source

https://www.aafp.org/pubs/afp/issues/2003/0615/p2557.html


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