S61.1 - Open wound of thumb with damage to nail
S61.14 - Puncture wound with foreign body of thumb with damage to nail
S61.141 - Puncture wound with foreign body of right thumb with damage to nail
S61.142 - Puncture wound with foreign body of left thumb with damage to nail
S61.149 - Puncture wound with foreign body of unspecified thumb with damage to nail