special subjects
Nail Gun Injuries
Key Points
Nail guns commonly cause injuries, often involving nerves, tendons, blood vessels, joints, bones, or penetration of body cavities. Check for serious injuries with detailed examination, and take x-rays. Use traction to remove only nails that are embedded in soft tissue and have no complicating injuries; otherwise, remove the nail in the operating room. Allow most nail gun injuries to heal by secondary intention rather than trying to suture them. 