Nail Bed Avulsion – Franko

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.