scholarly journals Congenital Malalignment of the Great Toenail, the Disappearing Nail Bed, and Distal Phalanx Deviation: A Review

2021 ◽  
pp. 1-5
Author(s):  
Benjamin Buttars ◽  
Steven Gates Scott ◽  
Danielle Glinka ◽  
C. Ralph Daniel ◽  
Robert T. Brodell ◽  
...  
Keyword(s):  
Distal Phalanx ◽  
Secondary Complications ◽  
Nail Dystrophy ◽  
Nail Bed ◽  
The Relationship

<b><i>Importance:</i></b> Congenital malalignment of the great toenail (CMGT) is an idiopathic deviation of the nail apparatus. CMGT predisposes patients to recurrent stress forces, microtrauma, and secondary complications. The purpose of this study was to review the current published photographs to determine the relationship between variants of CMGT and the disappearing nail bed (DNB). <b><i>Observations:</i></b> A search in PubMed and Google using the terms congenital malalignment of the great toenail, disappearing nail bed, and lateral nail deviation was performed. Of the 53 photographs found in a total of 35 articles, 23 were disqualified due to low picture resolution or poor angle. The remaining 30 photographs were evaluated. Pure nail malalignment with associated dystrophy and DNB was found in 22 of 30 photographs. Four of 30 cases demonstrated pure deviation of the distal phalanx, with nail dystrophy but minimal DNB. The remaining 4 cases demonstrated a combination of toe deviation and nail unit deviation with varying degrees of DNB. <b><i>Conclusions and Relevance:</i></b> DNB was associated with all forms of pure CMGT. Moreover, a variant of malalignment of the distal phalanx was noted in 8 photographs. This has potential implications for further studies and treatment to correct secondary complications.

Relationship Between Onychocryptosis and Foot Type and Treatment with Toe Spacer

2003 ◽  
Vol 93 (1) ◽  
pp. 33-36 ◽  
Author(s):  
Izge Günal ◽  
Can Koşay ◽  
Arzu Veziroğlu ◽  
Yasemin Balkan ◽  
Funda İlhan
Keyword(s):  
Distal Phalanx ◽  
Stage I ◽  
Stage Ii ◽  
History Of ◽  
Distal Interphalangeal ◽  
The Relationship ◽  
Second Toe

The relationship between onychocryptosis and foot type was investigated in a series of 512 patients. Of these patients, 124 had signs or a history of onychocryptosis. Among the nine foot types identified by digital and metatarsal formulas, the Greek index minus and squared index minus types showed the strongest association with onychocryptosis, which was present in more than one-third of such feet. When anteroposterior radiographs of each type of foot were taken after binding the first and second toes together to simulate a tight shoe, the enlargement of bony structures of the second toe at the distal interphalangeal level in the Greek and squared index minus feet moved toward the distal enlargement of the distal phalanx of the first toe where the ingrowing occurs. Ten cases of stage I and four cases of stage II onychocryptosis were treated by placing a toe spacer between the first and second toes; all healed in about 3 weeks, suggesting that counterpressure of the second toe in tight shoes is a factor in the development of onychocryptosis. (J Am Podiatr Med Assoc 93(1): 33-36, 2003)

Subungual Exostosis: High-Resolution Ultrasound Findings

2019 ◽  
Vol 35 (5) ◽  
pp. 387-390
Author(s):  
Carolina Whittle ◽  
Javiera Aguirre ◽  
Veronica Catalán ◽  
Ximena Fajre ◽  
Fabiola Vargas
Keyword(s):  
Retrospective Study ◽  
High Resolution ◽  
Diagnostic Method ◽  
Delayed Diagnosis ◽  
Distal Phalanx ◽  
Nail Dystrophy ◽  
Sonographic Diagnosis ◽  
Clinical Presentations ◽  
Ultrasound Findings ◽  
Acoustic Shadowing

Subungual exostosis is a rare solitary benign osteocartilaginous tumor that arises from the tuft of the distal phalanx beneath the nail. Because of its multiple clinical presentations, it is commonly underdiagnosed, resulting in delayed diagnosis and inadequate treatment. This report provides results from a 6-year retrospective study. All patients with a sonographic diagnosis of subungual exostosis confirmed surgically were selected. The data came from a series of 19 patient cases. Only 15.7% were clinically suspected. The median age was 21 years, and 63% were females. The sonographic findings were nail dystrophy, distal onycholysis, abnormal nail incurvation, subungual space enlargement, and the presence of hyperechogenic subungual image with acoustic shadowing that continued until the phalanx surface. Sonography provides an excellent diagnostic method for subungual exostosis, with findings that are pathognomonic.

scholarly journals Investigation of the relationship of the morphometric measurements of the hands and fingers with the personality traits of leadership

2019 ◽  
Vol 8 (1) ◽  
pp. 5
Author(s):  
Seda Sertel Meyvaci ◽  
Rengin Kosif ◽  
Murat Diramali ◽  
Tugce Baki
Keyword(s):  
Personality Traits ◽  
Index Finger ◽  
Charismatic Leadership ◽  
Distal Phalanx ◽  
Anthropometric Measurements ◽  
Leadership Frames ◽  
Left Hand ◽  
Leadership Frame ◽  
The Right ◽  
The Relationship

Background: The hand is a functionally critical organ at the distal end of the upper extremity. Also, the creases in the hands and the digital flexion creases on the fingers are the important external anatomical landmarks.Objectives: There are no studies found in the literature, linking solely the leadership personality traits with the anthropometric measurements of the hand.Methods: This descriptive study was to investigate the relationship between the 44 anthropometric measurements about hand, and the leadership personality traits in young adults from both genders.Results: When the leadership frames were compared by the scores, human resource leadership scores were significantly higher in the females. The charismatic leadership frame scores positively correlated with the parameters in males; including the breadth of the right hand, the breadth of the left hand, the index finger length of the left hand, and the distal phalanx length of the index finger on the left hand. The transformational leadership score was positively correlated with the left hand width and with the distal phalanx of the index finger on the left hand. In females, it was found out that the frames of human leadership and charismatic leadership correlated negatively with the length of the right thumb.Conclusions: According to the results of our study, we concluded that the breadth of the hand and the measurements of the thumb and the index fingers can provide opinion on leadership personality traits.  

Neuropathic Pain, Depression, and Cardiovascular Disease: A National Multicenter Study

2015 ◽  
Vol 44 (3) ◽  
pp. 130-137 ◽  
Author(s):  
Jacquelyn J. Cragg ◽  
Vanessa K. Noonan ◽  
Luc Noreau ◽  
Jaimie F. Borisoff ◽  
John K. Kramer
Keyword(s):  
Cardiovascular Disease ◽  
Neuropathic Pain ◽  
Self Report ◽  
Secondary Complications ◽  
Cross Sectional ◽  
Increased Risk ◽  
Cord Injury ◽  
Emerging Risk ◽  
Potential Factors ◽  
The Relationship

Background: Individuals with spinal cord injury (SCI) have a more than twofold increased risk of heart disease and stroke compared with able-bodied individuals. The increased risk appears to be in excess of the risk conferred by several well-established risk factors, including diabetes, hypertension, and sex. This raises the question whether other factors, secondary to SCI, are also contributing to the development of cardiovascular disease (CVD). Two potential factors associated with SCI and CVD are pain and depression. Both are frequently reported among individuals with SCI, develop in the acute stages of injury, and are commonly described as severe. Therefore, the primary aim of this study was to examine the relationship between pain (and types of pain) and depression with CVD among individuals with SCI. Methods: A total of 1,493 individuals (referred sample) with chronic SCI participated in a self-report cross-sectional multicenter Canada-wide survey from 2011-2012 (mean age ± standard deviation: 49.6 ± 13.9 years). Results: After adjustment for age, sex, and injury characteristics, neuropathic pain and depression were significantly and independently associated with CVD (adjusted odds ratio and 95% confidence interval: 2.27 (1.21, 4.60) for neuropathic pain; 4.07 (2.10, 7.87) for depression). In contrast to neuropathic pain, non-neuropathic pain was not significantly associated with CVD (p = 0.13). Conclusion: In conclusion, these data illustrate important interrelationships between secondary complications following SCI, as well as raise the possibility of neuropathic pain (versus nociceptive pain) as a novel and emerging risk factor for CVD.

scholarly journals Psoriatic onychodystrophy: clinical manifestations (part 1)

2019 ◽  
Vol 94 (6) ◽  
pp. 7-14
Author(s):  
A. V. Platonova ◽  
A. S. Zhukov ◽  
V. R. Khairutdinov ◽  
A. V. Samtsov
Keyword(s):  
Psoriatic Arthritis ◽  
Prognostic Value ◽  
Clinical Manifestations ◽  
Pathological Changes ◽  
Nail Bed ◽  
Nail Changes ◽  
Wide Range ◽  
Mechanisms Of Formation ◽  
The Relationship ◽  
Dystrophic Nail

Psoriatic onychodystrophy is quite common in patients with psoriasis. Changes in psoriatic nails have a wide range of clinical manifestations, including symptoms of damage of the nail bed and/or nail matrix. The article presents information about clinical and pathological manifestations of psoriatic onychodystrophy, the mechanisms of formation of pathological changes. The existence of the relationship between the change of nail plates in patients with psoriasis and the development of psoriatic arthritis is explained, the prognostic value of individual symptoms is analyzed. The diagnostic criteria for the histological diagnosis of psoriatic onychodystrophy are described. The information about the occurrence of each symptom in patients with psoriasis with dystrophic nail changes is given.

scholarly journals Osteoid Osteoma of Distal Phalanx of Little Finger

2013 ◽  
Vol 11 (2) ◽  
pp. 46-49
Author(s):  
Amit Joshi ◽  
Nirab Kayastha
Keyword(s):  
Osteoid Osteoma ◽  
Distal Phalanx ◽  
Lower Limbs ◽  
Lytic Lesion ◽  
Digital Nerve ◽  
Nail Bed ◽  
Uncommon Case ◽  
One Year ◽  
Digital Nerve Block ◽  
Little Finger

Osteoid Osteoma is benign bone forming tumor commonly occurs in lower limbs. Osteoid Osteoma of upper limb is rare, and it is extremely rare in hands. We report a case of a 20 year old male who presented with complaints of pain in nail bed of left little finger over a period of one year with gradually increasing swelling and deformity of nail. Radiological examination revealed a well-defined lytic lesion with sclerotic margin at distal phalanx with a nidus at center. Curettage and removal of nidus was done under digital nerve block. He was symptom free from next day of surgery and the tip of the finger has significantly regained its original shape over a period of two years. The aim of this paper is to report yet another uncommon case of osteoid Osteoma located at distal phalanx of little finger.Medical Journal of Shree Birendra Hospital; July-December 2012/vol.11/Issue2/46-49 DOI: http://dx.doi.org/10.3126/mjsbh.v11i2.7911 

Use of Modified Tension Band Sutures for Fingernail Disruptions

2007 ◽  
Vol 32 (6) ◽  
pp. 668-674 ◽  
Author(s):  
H. S. PATANKAR
Keyword(s):  
Nail Plate ◽  
Distal Phalanx ◽  
Tension Band ◽  
Age Group ◽  
Simple Method ◽  
Nail Bed ◽  
Finger Nail ◽  
Wire Fixation ◽  
Displaced Fracture

A series of 66 patients, aged between 1 and 70 years, with 70 disruptive injuries to finger nails was reviewed. The injuries were treated by cleaning of the finger, evacuation of haematoma and anatomical replacement of the nail plate, or a substitute, which was secured with a modified dorsal tension band suture without formal repair of the nail bed. K-wire fixation of the distal phalanx was employed only in the event of displaced fracture of the distal phalanx, complete absence of the nail plate and laceration extending to the distal pulp. This simple method, which bypasses the injured and friable, but vital nail structures resulted in uncomplicated reformation of the normal nail plate in all of the cases. Removal of the nail plate and formal repair of the nail bed is not necessary in any age group with finger nail disruptions.

Paediatric Hand Injuries Caused by Spiked Railings

1999 ◽  
Vol 24 (5) ◽  
pp. 615-616 ◽  
Author(s):  
T. RASHEED ◽  
C. HILL ◽  
K. KHAN ◽  
M. BRENNEN
Keyword(s):  
Open Fracture ◽  
Distal Phalanx ◽  
Hand Injuries ◽  
Digital Nerve ◽  
Nerve Injuries ◽  
Nail Bed

We report five cases of hand injuries caused by spiked palisade railings. One patient sustained an open fracture of the distal phalanx with a disruption of the nail bed, and two patients had digital nerve injuries. Two patients presented with the railing still impaled in the fingers, one of whom had an ischaemic digit at presentation. All patients were male, between 9 and 12 years of age, and presented in the course of 1 month. Railings of this type would appear to be a significant cause of hand injuries, which may be prevented by legislation or a change in railing design.

Reconstruction of the Great Toe Ski-Slope, Sunken-Nail Deformity with a Buried Adipofascial Flap

2004 ◽  
Vol 94 (6) ◽  
pp. 578-582
Author(s):  
Thomas S. Roukis ◽  
Adam S. Landsman
Keyword(s):  
Nail Plate ◽  
Surgical Excision ◽  
Distal Phalanx ◽  
Great Toe ◽  
Nail Bed ◽  
Adipofascial Flap ◽  
Nail Deformity ◽  
Complete Surgical Excision ◽  
Surgical Options ◽  
Normal Architecture

Development of a ski-slope deformity following loss of the great toe nail plate is a problematic condition with few conservative or surgical options available. The condition becomes more difficult to treat when the distal, medial, and lateral labial nail folds are hypertrophied, creating the appearance of a sunken nail. We present a case of ski-slope, sunken-nail deformity following multiple attempts at chemical nail matrixectomy. The patient’s persistent pain and deformity were managed through 1) nail plate avulsion and complete surgical excision of the germinal nail matrix, 2) remodeling of the distal phalanx, and 3) elevation of an adipofascial flap from the plantar tuft of the great toe, which was brought from plantar to dorsal and interposed between the dorsal aspect of the distal phalanx and the overlying nail bed in buried fashion. The combination of these procedures elevated the nail bed, which restored normal architecture to the great toe and relieved the pain associated with the chronic deformity. This case demonstrates a potential complication of a commonly performed procedure and a salvage technique useful for dealing with the resultant ski-slope, sunken-nail deformity (J Am Podiatr Med Assoc 94(6): 578–582, 2004)

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