From the Research
For a finger laceration with limited suturing space, some minor protrusion of subcutaneous tissue through the suture line is expected and considered normal for this type of repair. When suturing a finger laceration, use fine suture material (e.g., 5-0 or 6-0 nylon) and place sutures about 2-3 mm apart. Avoid overtightening to prevent tissue strangulation. Expect some minor tissue bulging between sutures due to the finger's limited soft tissue coverage. This occurrence is common in finger lacerations because of the thin skin and minimal subcutaneous tissue. The protrusion typically resolves as the wound heals. Inform the patient that this is normal and doesn't indicate improper closure or increased risk of complications. Ensure proper wound care instructions are provided, including keeping the area clean and dry, and follow up in 7-10 days for suture removal. If signs of infection develop (increased redness, swelling, pain, or discharge), the patient should seek immediate medical attention. The most recent study 1 highlights the importance of prompt diagnosis and treatment of finger injuries, which can lead to compartment syndrome, a serious condition that can result in necrosis of the fingertips. However, this study does not directly address the issue of subcutaneous tissue protruding through the suture line. In general, the key to managing finger lacerations is to prioritize proper wound care and follow-up to prevent complications, as noted in various studies 2, 3, 4, 5. Some studies discuss the use of anesthesia and tendon repair in finger lacerations 2, 3, 4, 5, but these are not directly relevant to the issue of subcutaneous tissue protruding through the suture line. The expected outcomes for finger lacerations with limited suturing space are generally good, with minor protrusion of subcutaneous tissue resolving on its own as the wound heals. It is essential to inform patients about the expected outcomes and provide proper wound care instructions to prevent complications. In terms of morbidity, mortality, and quality of life, the most critical factor is prompt and proper treatment of finger lacerations to prevent serious complications such as compartment syndrome 1. Overall, the key to managing finger lacerations is to prioritize proper wound care, follow-up, and patient education to ensure the best possible outcomes.