History: 18 year old male injured his index finger after dropping a 60-pound weight at the gym. He presented to the emergency department for an open injury with an avulsed nail and nail bed laceration.
Diagnosis: Right index finger open distal phalanx fracture with nail bed laceration and nail avulsion
Treatment: Repair of nail bed and replacement of nail plate
Outcome: He had a fast recovery. The nail bed healed beautifully and the nail plate grew back without any abnormality. He was back in the gym within a few weeks and by 3 months had a normal appearance of his finger.