Single Finger Research Articles

Adaptive flexibility of the within-hand attentional gradient in touch: An MEG study

Previous studies have demonstrated the cortical mechanisms for the gradient of spatial attention in vision and audition, whereas those for touch have yet to be elucidated in detail. In order to examine the within-hand gradient of tactile spatial attention in the cerebral cortex, we used magnetoencephalography (MEG) to record cortical responses to an electrocutaneous stimulation presented randomly to any of the five fingers of the right hand at a random interstimulus interval (750–1250 ms). Participants attended to the index finger, ring finger, or both to detect a rare target stimulus in a sequence of frequent standard stimuli presented to the attended finger(s) by silent counting. Neuromagnetic responses around the contralateral primary and secondary somatosensory cortices (SIc and SIIc) at 50–70 ms and 80–100 ms, respectively, for the stimulation of the index or ring finger were stronger when that finger was attended than when the distant finger was attended or at rest. The amplitude of the SIIc response was also intermediate when the index and ring fingers were simultaneously attended. The SIIc response to the task-irrelevant stimulation of the thumb or little finger increased when the index or ring finger was attended, respectively, suggesting an across-finger gradient of tactile attention. Simultaneous attention to the index and ring fingers decreased the SIIc response to the task-irrelevant stimulation of the intervening middle finger more than that with attention to either one of the two fingers. The earliest attentional sign was observed for the SI M40c response, with the amplitude increasing with the stimulation of the unattended finger. Furthermore, late responses in the temporo-parietal junction (TPJ) and prefrontal cortex (PFC) were stronger with the stimulation of the unattended finger than with that of the attended finger. Thus, the present study provides cortical evidence for the adaptive control of the within-hand, across-finger gradient of tactile attention that depends on whether attention is focused on a single finger or divided into non-adjacent different fingers.

Electroencephalographic Characteristic of Automatic Calibration of Finger Movements in Graphic Design

With the development of the graphic design, the computers replace the traditional paper drawing process, which means the high requirement about the finger movement during normal work. In this paper, a experiment has been done to collect the electroencephalography signal of finger automatic correction under the situation of graphic design, which is highly relied on the finger movement to operate the computer. The research outcome presents that the half brain difference on bereits-chaft-spotential (BP) and event-related desynchronization (ERD) are two characteristics of electroencephalography signal when the automatic correction happens in the finger movement, which means that the opposite brain would be more active when the single side finger moved. The characteristic of electroencephalography signal would benefit the exploration and development of graphic design assist system to improve the efficiency of design process.

Distinct neural control of intrinsic and extrinsic muscles of the hand during single finger pressing

Single finger force tasks lead to unintended activation of the non-instructed fingers, commonly referred to as enslaving. Both neural and mechanical factors have been associated with this absence of finger individuality. This study investigates the amplitude modulation of both intrinsic and extrinsic finger muscles during single finger isometric force tasks. Twelve participants performed single finger flexion presses at 20% of maximum voluntary contraction, while simultaneously the electromyographic activity of several intrinsic and extrinsic muscles associated with all four fingers was recorded using 8 electrode pairs in the hand and two 30-electrode grids on the lower arm. The forces exerted by each of the fingers, in both flexion and extension direction, were recorded with individual force sensors. This study shows distinct activation patterns in intrinsic and extrinsic hand muscles. Intrinsic muscles exhibited individuation, where the agonistic and antagonistic muscles associated with the instructed fingers showed the highest activation. This activation in both agonistic and antagonistic muscles appears to facilitate finger stabilisation during the isometric force task. Extrinsic muscles show an activation independent from instructed finger in both agonistic and antagonistic muscles, which appears to be associated with stabilisation of the wrist, with an additional finger-dependent modulation only present in the agonistic extrinsic muscles. These results indicate distinct muscle patterns in intrinsic and extrinsic hand muscles during single finger isometric force pressing. We conclude that the finger specific activation of intrinsic muscles is not sufficient to fully counteract enslaving caused by the broad activation of the extrinsic muscles.

S142. Attentional gradient in touch: An MEG study

Introduction Previous studies have demonstrated the cortical mechanisms for the gradient of spatial attention in vision and audition, whereas those for touch have yet to be elucidated in detail. We used magnetoencephalography (MEG) to examine the within-hand gradient of tactile spatial attention in the cerebral cortex. Methods We recorded cortical responses to an electrocutaneous stimulation presented randomly to any of the five fingers of the right hand at a random interstimulus interval (750–1250 ms). Participants attended to the index finger, ring finger, or both to detect a rare target stimulus presented there by silent counting. Results Neuromagnetic responses around the contralateral primary and secondary somatosensory cortices (SIc and SIIc) for the stimulation of the index or middle finger were stronger when that finger was attended than when the distant finger was attended. The SIIc response to the task-irrelevant stimulation of the thumb or little finger increased when the index or ring finger was attended, respectively, suggesting an across-finger gradient of tactile attention. Simultaneous attention to the index and ring fingers decreased the SIIc response to the task-irrelevant stimulation of the intervening middle finger more than that with attention to either one of the two fingers. Furthermore, late responses in the temporo-parietal junction (TPJ) and prefrontal cortex (PFC) were stronger with the stimulation of the unattended finger than with that of the attended finger. Conclusion The present study provides cortical evidence for the adaptive control of the within-hand, across-finger gradient of tactile attention that depends on whether attention is focused on a single finger or divided into non-adjacent different fingers.

Wireless-powered electroactive soft microgripper

This paper presents a wireless powered single active finger ionic polymer metal composite (IPMC) based microgripper that is operated using external radio-frequency (RF) magnetic field for biological cell manipulation application. A unimorph-like active finger is fabricated by integrating the IPMC actuator to the planar resonant LC receiver and DC rectifier circuits (made of flexible double-sided copper clad polyimide). The finger activated when the device is exposed to the external magnetic field generated by transmitter circuit that matches the resonant frequency of LC receiver circuit, ∼13.6 MHz in magnetic resonant coupling power transfer mechanism. The fabricated prototype shows a maximum IPMC deflection of 0.765 mm (activation force of 0.17 mN) at the RF power of 0.65 W with 3.5 VDC supplied from the LC receiver circuit. Three repeated ON-OFF wireless activation cycle was performed with the reported cumulative deflection of 0.57 mm. The cumulative deflection was increased to 1.17 mm, 1.19 mm and 1.24 mm for three different samples respectively at 5 VDC supplied. As a proof of concept, fish egg was used to represent the biological cell manipulation operation. The microgripper successfully gripped the fish egg sample without any damages. The experiments result validates the effectiveness of wireless RF soft microgripper towards the target application.

Effects of two different administration methods of heparin on the survival rate of severed finger replantation

Objective To evaluate the effects of two different administration methods of heparin on the survival rate of severed finger replantation. Methods From March 2010 to January 2015, the operation of single severed finger replantation was performed on 104 patients in emergency department of our hospital. According to the different administration methods of heparin after operation, they were divided into intravenous injection group (group A) and intravenous drip group (group B), with 52 cases in each group. The incidence of vascular crisis, the survival rate of replantation and the adverse reactions were observed postoperatively. The patients were follow-up for 2 months. Results There was no significant difference between two groups in the incidence of vascular crisis and the survival rate of replantation, and the adverse reactions in intravenous injection group were significantly lower than those in intravenous drip group. Conclusion There was no significant difference in the incidence of vascular crisis and the success rate of replantation after operation between intravenous injection of heparin and intravenous drip of heparin. However, intravenous injection can reduce the adverse reactions. Key words: Replantation; Heparin; Administration method; Vascular crisis; Adverse reaction

Arabidopsis SHL1 protein binds to a specific sequence of the TCH4 promoter in vitro

The Arabidopsis SHL1 (Short Life 1) gene encodes a small nuclear protein that is critical for the proper expression of the developmental programs that are responsible for controlling plant stature, senescence, flowering and seed formation. The SHL1 contains a single PHD finger domain that works in conjunction with a bromo-adjacent homology (BAH) motif that is thought to function significantly in protein-protein interactions. The TCH4 gene of the Arabidopsis encodes a xylogluclan endotransglucosylase/hydrolase that is transcriptionally regulated by a variety of hormonal and environmental stimuli. We report here in this study that the SHL1 exhibits sequence specific DNA binding properties, recognizing a 14 bp region of the TCH4 promoter in vitro, spanning nucleotides -262 to -275 (GGAAAAAACTCCCA). Chiefly, the nuclear extracts of Arabidopsis contain a protein with similar binding properties as recombinant SHL1, which is absent in identified transgenic plants that are noted as expressing antisense SHL1 RNA. Interestingly, the SHL1 gene expression with a BL treatment in characteristically wild types of seedlings showed that the transcript level of SHL1 is significantly down regulated by the BL treatment. The SHL1 may play a subtle role in regulating the kinetics of induction of the TCH4 in response to several stimuli in vivo.

A soft robotic hand: design, analysis, sEMG control, and experiment

Soft robot is a new type of flexible robot which can imitate human hand activity. Electromyographic (EMG) signal is an important bioelectrical signal associated with muscle activity. The innovative combination of soft robot and EMG shows great potential. Based on this inspiration, a humanoid soft robotic hand controlled by EMG was proposed. We designed a single finger 3D model for the soft robotic hand and put forward the three-stage cavity structure. The finite element analysis has been performed to obtain the influence of the geometrical parameters including the number of cavities, the shape of the cavity side section, and the pressure in the cavity on the single finger bending performance. The optimal geometrical parameters were obtained. We analyzed the geometrical deformation of the finger simulation model and figured out the relationship between the input pressure of the soft hand and the angle of bending deformation. In addition, we designed and manufactured the soft robotic hand model and its pneumatic system. Twenty-four effective eigenvalues were extracted from the surface EMG signal (sEMG) of the forearm muscle group and ten-kinds-gestures recognizing system was established. Finally, we realized the online sEMG control of the soft robotic hand, so that the soft robotic hand can reproduce the gestures behavior of human. The correct rate of recognition is 96%. Conclusions obtained in this paper provide theoretical support for the development of humanoid soft robotic hand.

Impact of multi- versus single finger proximal interphalangeal joint arthroplasty: analysis of 249 fingers treated in 15 years.

IV.

Abstract P1-03-06: GNBP2 suppresses tumor growth and cancer stem cell load of triple negative breast cancer by controlling STAT3 pathway

Abstract Background: Gametogenetin binding protein 2 (GGNBP2) is encoded in human chromosome 17q12-q23, a region known as a breast and ovarian cancer susceptibility locus. GGNBP2 has a single C2H2 zinc finger and a consensus LxxLL nuclear receptor (NR) binding motif. We have reported that GGNBP2 suppresses ERα-positive breast tumorigenesis by acting as a nuclear receptor co-repressor to restrain ERα activity. However, the detailed molecular mechanisms of GGNBP2 and its role in triple negative breast cancer (TNBC) remain largely unclear. Methods: A human breast cancer tissue array containing 138 human breast tumor tissues were utilized to examine GGNBP2 expression in breast cancer samples by IHC. To address the potential anti-breast tumor activity of GGNBP2 in vitro, we expressed exogenous GGNBP2 in TNBC cells, including MDA-MB-231 and Cal51 cell lines. Cell proliferation and cell cycle were assessed by cell growth curve/EdU assays and flow cytometry after propidium Iodide staining. Apoptosis was determined by flow cytometry after annexin V staining, by caspase 3/7 and caspase 9 activity assays. Cancer stem cell properties were determined by expression of CD44/CD24/ALDH1 markers. The levels of phosphorylated STAT3 and total STAT3 were determined by western blot. Quantitative PCR and Western blot were carried out to evaluate the effects of GGNBP2 overexpression on STAT3 target genes, CCND1, Mcl-1, survivin, bax and bim expression. Results: GGNBP2 expression is down-regulated in TNBC cells and patient tumors and it is associated with poor patient survival. Overexpression of GGNBP2 significanly induces cell cycle G0/G1 phase arrest and apoptosis in TNBC cell lines. Expression of cancer stem cell markers also decreased in GGNBP2-overexpressed TNBC cells. GGNBP2 reduces the expression levels of CCND1, Mcl-1 and survivin, promotes the expression levels of bax and bim proteins. Importantly, overexpression of GGNBP2 inhibits STAT3 phosphorylation and STAT3 downstream garget gene expression, including CCND1, Mcl-1 and survivin. Conclusion: GGNBP2 serves as a critical nuclear negative regulator of STAT3-mediated gene expression and tumorigenesis. Citation Format: Zhang J. GNBP2 suppresses tumor growth and cancer stem cell load of triple negative breast cancer by controlling STAT3 pathway [abstract]. In: Proceedings of the 2017 San Antonio Breast Cancer Symposium; 2017 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2018;78(4 Suppl):Abstract nr P1-03-06.

The Relationship Between Digit Independence and Digital Sesamoids in Humans and a Proposal of a New Digital Sesamoid Evolutionary Hypothesis.

Digital sesamoids are found in the metapodial-phalangeal joints of most mammals and quadrupedal tetrapods, yet their functional significance is still unclear. During primate evolution, a slight decline in their frequency has been associated with brachiation in gibbons, followed by a quasi-complete absence in orangutans then a slight resurgence occurred in gorillas and chimpanzees. Simultaneously, forearm muscles showed a progressive division in hominoid evolution towards a more "individualistic" musculature yielding more mobility and independence to some fingers. In humans, sesamoids are consistently observed in thumbs and big toes and frequently in other hypermobile digits such as the index and little fingers. Using a simple mathematical equation, this paper attempted to quantify a presumed association between hypermobile fingers and sesamoid frequency and distribution in humans. To this, an anatomic definition of digital independence has been formulated which includes three variables; (1) number and (2) frequency of independent flexor/extensor forearm muscles destined to a single finger, (3) and number of free/absent webspace. Results of previous meta-analyses and means of big sample studies were used to evaluate the frequency of such muscles. The expected values obtained via this model were found to be very close to the observed (published) values of the ossified sesamoids in human hands, and that in terms of frequency and distribution. The findings in humans showed a quasi-linear association between the degree of mobility and sesamoid frequency. The more the number of independent muscles destined to a finger, the more its metacarpo-phalangeal joint is likely to bear sesamoids. Based on our results and on a new analysis of primates' forearm/hand muscles and sesamoid evolution, a new hypothesis is proposed to answer two questions; the evolution of digital sesamoid frequency in primates and its sesamoid distribution in human digits. It claims that the number/frequency of independent forearm/hand muscles, and particularly the independent extensors, is likely to be a major factor in sesamoid reversion in hominoids. The argument is based on the link between the metatarsal break induced by the digitigrade locomotion observed in quadrupedal mammals and tetrapods and the amount of extra-extension of the metacarpo-phalangeal joints conferred by the individualization of some forearm extensors. The same rationale yielded similar conclusions when applied to both the hand and foot. The manipulative function of the hand and the plantigrade locomotion of the foot required such extra-extension in specific digits and consequently, a higher frequency of digital sesamoids was associated with these two different functions. The new evolutionary analysis suggests evolutionary pathways for both, the sesamoids of the hands and feet, and speculates that muscle individualization would have induced a very slow re-acquisition of digital sesamoids when compared to their rapid decline after brachiation. It is the first hypothesis offering a plausible explication on the recent evolution of digital sesamoids; specifically, the progression of sesamoid frequency in African apes and its resurgence, prevalence and distribution in humans. Anat Rec, 301:1046-1060, 2018. © 2018 Wiley Periodicals, Inc.

Stimulating numbers: signatures of finger counting in numerosity processing.

Finger counting is one of the first steps in the development of mature number concepts. With a one-to-one correspondence of fingers to numbers in Western finger counting, fingers hold two numerical meanings: one is based on the number of fingers raised and the second is based on their ordinal position within the habitual finger counting sequence. This study investigated how these two numerical meanings of fingers are intertwined with numerical cognition in adults. Participants received tactile stimulation on their fingertips of one hand and named either the number of fingers stimulated (2, 3, or 4 fingers; Experiment 1) or the number of stimulations on one fingertip (2, 3, or 4 stimulations; Experiment 2). Responses were faster and more accurate when the set of stimulated fingers corresponded to finger counting habits (Experiment 1) and when the number of stimulations matched the ordinal position of the stimulated finger (Experiment 2). These results show that tactile numerosity perception is affected by individual finger counting habits and that those habits give numerical meaning to single fingers.

Adjustment to finger amputation and silicone finger prosthesis use

Purpose: Finger amputations are the most common amputations of upper limbs. They influence hand function, general functioning and quality of life. One of the possibilities for rehabilitation after finger amputation is fitting a silicone finger prosthesis. We wanted to evaluate the adjustment to amputation and prosthesis use in patients after finger amputation.Methods: We included 42 patients with partial or complete single or multiple finger amputation of one hand who visited the outpatient clinic for prosthetics and orthotics at our institute and received a silicone prosthesis. We assessed their adjustment to amputation and prosthesis with the Trinity Amputation and Prosthesis Experience Scales (TAPES).Results: Most of the patients (28, 67%) had a single finger amputated. The average scores on all TAPES subscales (except adjustment to limitation) were above 50% of the maximum possible score. On average, the scores were the highest on the general adjustment and satisfaction with the prosthesis subscales.Conclusions: Silicone prostheses for finger amputation of upper limb play an important role in the process of adaptation to amputation. They offer aesthetically satisfying results and alleviate social interactions, which influences overall quality of life.Implications for RehabilitationSilicone prostheses for finger amputation of upper limb offer an aesthetically satisfying result and alleviate problems with social interactions.Their influence on hand function is not optimal, but the prosthesis improves the amputee's quality of life.

Visually-Driven Maps in Area 3b.

Sensory perception relies on the precise neuronal encoding of modality-specific environmental features in primary sensory cortices. Some studies have reported the penetration of signals from other modalities even into early sensory areas. So far, no comprehensive account of maps induced by "foreign sources" exists. We addressed this question using surface-based topographic mapping techniques applied to ultra-high resolution fMRI neuroimaging data, measured in female participants. We show that fine-grained finger maps in human primary somatosensory cortex, area 3b, are somatotopically activated not only during tactile mechanical stimulation, but also when viewing the same fingers being touched. Visually-induced maps were weak in amplitude, but overlapped with the stronger tactile maps tangential to the cortical sheet when finger touches were observed in both first- and third-person perspectives. However, visually-induced maps did not overlap tactile maps when the observed fingers were only approached by an object but not actually touched. Our data provide evidence that "foreign source maps" in early sensory cortices are present in the healthy human brain, that their arrangement is precise, and that their induction is feature-selective. The computations required to generate such specific responses suggest that counterflow (feedback) processing may be much more spatially specific than has been often assumed.SIGNIFICANCE STATEMENT Using ultra-high field fMRI, we provide empirical evidence that viewing touches activates topographically aligned single finger maps in human primary somatosensory cortical area 3b. This shows that "foreign source maps" in early sensory cortices are topographic, precise, and feature-selective in healthy human participants with intact sensory pathways.

15 kV-Class Implantation-Free 4H-SiC BJTs With Record High Current Gain

Implantation-free mesa-etched ultra-high-voltage (0.08 mm2) 4H-SiC bipolar junction transistors (BJTs) with record current gain of 139 are fabricated, measured, and analyzed by device simulation. High current gain is achieved by optimized surface passivation and optimal cell geometries. The area-optimized junction termination extension is utilized to obtain a high and stable breakdown voltage without ion implantation. The open-base blocking voltage of 15.8 kV at a leakage current density of 0.1 mA/cm2 is achieved. Different cell geometries (single finger, square, and hexagon cell geometries) are also compared.

Surface Modified Zinc Ferrite (ZF) / Polyvinylidene fluoride (PVDF) Nanocomposite: A Novel Material for Application as a Flexible Energy Harvester

A simple cost effective method to enhance the electroactive phase of PVDF by developing nanocomposite with surface modified ascorbic acid assisted phase pure Zinc Ferrite (ZF(ASC)) has been demonstrated. High energy storage density (0.271 J/cm3) and piezoelectric energy harvesting performance (∼ 2.20 V output voltage with single finger impact of human touch) was obtained after polling 1.5 wt% surface modified Zinc Ferrite nanoparticle loaded nanocomposite. There is a possibility of transformation of nonpolar phase to electroactive phase in PVDF which has occurred due to the orientation effect of -CH2 bond in PVDF over the surface modified nanoparticle.

Development of Surface-EMG Based Single Finger Movement Identification and Control for a Bionic Arm

Bionic arm is a robotic arm that offers many of human arm features such as hand grasp and release, flexionextension, elbow flexion-extension, supination-pronation etc. which is integrated with the nervous system and controlled by Electromyogram signals. Invasive and non-invasive methods are used to collect the EMG signal from amputees. In spite of difficulty caused by invasive methods, non-invasive methods are being opted in today's recent Bionic Arms. To overcome the some drawbacks of non-invasive methods proper classification algorithms has to be chosen for controlling individual finger movements in Bionic Arm. In this paper, initially various feature extraction; reduction and classification algorithms are implemented on EMG data of different subjects which is available from Ninapro database. From the results obtained, MAV algorithm for feature extraction, PCA algorithm for feature reduction and KNN algorithm for feature classification are chosen since they gave more accuracy compared to others after implementing on EMG data of different subjects. By employing this algorithms 95% accuracy is achieved for controlling individual finger movements in Bionic Arm. Response time between grasp and release actions of fingers in Bionic Arm obtained after implementing on processor is less than 1ms.

Tendon displacements during voluntary and involuntary finger movements

In the human hand, independent movement control of individual fingers is limited. One potential cause for this is mechanical connections between the tendons and muscle bellies corresponding to the different fingers. The aim of this study was to determine the tendon displacement of the flexor digitorum superficialis (FDS) of both the instructed and the neighboring, non-instructed fingers during single finger flexion movements. In nine healthy subjects (age 22–29 years), instructed and non-instructed FDS finger tendon displacement of the index, middle and ring finger was measured using 2D ultrasound analyzed with speckle tracking software in two conditions: active flexion of all finger joints with all fingers free to move and active flexion while the non-instructed fingers were restricted. Our results of the free movement protocol showed an average tendon displacement of 27 mm for index finger flexion, 21 mm for middle finger flexion and 17 mm for ring finger flexion. Displacements of the non-instructed finger tendons (≈12 mm) were higher than expected based of the amount of non-instructed finger movement. In the restricted protocol, we found that, despite minimal joint movements, substantial non-instructed finger tendon displacement (≈9 mm) was still observed, which was interpreted as a result of tendon strain. When this strain component was subtracted from the tendon displacement of the non-instructed fingers during the free movement condition, the relationship between finger movement and tendon displacement of the instructed and non-instructed finger became comparable. Thus, when studying non-instructed finger tendon displacement it is important to take tendon strain into consideration.

Design and test of the Stirling-type pulse tube cryocooler

Stirling type pulse tube cryocoolers are very attractive for cooling of diverse application because it has it has several inherent advantages such as no moving part in the cold end, low manufacturing cost and long operation life. To develop the Stirling-type pulse tube cryocooler, we need to design a linear compressor to drive the pulse tube cryocooler. A moving magnet type linear motor of dual piston configuration is designed and fabricated, and this compressor could be operated with the electric power of 100 W and the frequency up to 60 Hz. A single stage coaxial type pulse tube cold finger aiming at over 1.5 W at 80K is built and tested with the linear compressor. Experimental investigations have been conducted to evaluate their performance characteristics with respect to several parameters such as the phase shifter, the charging pressure and the operating frequency of the linear compressor.

Management of Nail Bed Injuries Associated with Fingertip Injuries.

Background:Management of nail injuries can often be a challenging experience, especially in presence of complex fingertips’ injuries that include soft tissue loss and distal phalanx injury. Most studies found in the literature focus on individual injuries and describe methods to tackle those injuries, notwithstanding the fact that the nail, nailbed, distal phalanx, soft tissue and skin of the finger tip form a complex and often more than one element of this complex is injured. This retrospective study therefore focuses on the management of nail bed injuries as a part of the complex finger tip injury and outlines the surgical principles and techniques that were used in their management.Materials and Methods:Two hundred and forty patients from a tertiary care center in different clinical settings where a wide variety of cases involving the nail bed injuries were included in this study. Patients comprised of 192 (80%) males and 48 (20%) females with the average male age of 37.3 years (range 1-66 years) and average female age of 29 years (range 1-59 years). 210 patients had single finger involment, 30 patients had two finger involvement (total fingers involved- 270). The middle finger was most commonly involved while the index finger was the second most commonest finger involved. In 198 (89.18%) patients local anaesthesia was used while in the rest: regional blocks [n = 10 (4.5%)] and general anaesthesia [n = 14 (6.3%)] were used.Results:In this retrospective study, out of the total of two hundred and forty patients, 222 (92.5%) patients underwent surgery, while the rest 18 (7.5%) were treated conservatively. Two hundred and ten patients who underwent surgery had complete healing over the course of treatment and followup, while four patients needed secondary interventional. Eight patients who had surgery were migrant workers were lost to follow up after surgery. Eight patients had postoperative complications that included infection, secondary necrosis, wound breakdown and non healing fractures.Conclusion:Accurate and timely diagnosis of nail bed injury and its meticulous repair is cardinal to the management of any nail bed injury. However all nail bed injuries must be seen in the context of associated injuries of the finger tip complex, namely skin, soft tissue and distal phalanx injuries. Fixation of associated bony injury which closely underlines the nail bed and provides physical support to the nail bed along with correction of soft tissue injuries in the form of flaps or grafts, compounded by the repair or replacement of nail plate in the first 24 hours.