Ingrown toenail: Difference between revisions

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==Background==
==Background==
 
{{Fingertip anatomy}}
*Lateral nail edge grows deep into nail wall → cycle of inflammation and hypertrophic granulation tissue can lead to abscess


==Clinical Features==
==Clinical Features==
 
[[File:Ingrown nail 002 cropped.jpg|thumb|Typical ingrown toenail]]
*Pain and swelling at distal nailbed, typically unilateral


==Differential Diagnosis==
==Differential Diagnosis==
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==Evaluation==
==Evaluation==
===Workup===
*Typically does not require studies


===Diagnosis===
*Typically a clinical diagnosis


==Management==
==Management==
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==Disposition==
==Disposition==
 
*Outpatient


==See Also==
==See Also==
 
*[[Ingrown toenail removal]]


==External Links==
==External Links==
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==References==
==References==
<references/>
<references/>
[[Category:Orthopedics]]

Revision as of 17:18, 17 August 2019

Background

Nailtip Anatomy

A. Nail plate; B. lunula; C. root; D. sinus; E. matrix; F. nail bed; G. hyponychium; H. free margin.
  • The perinychium includes the nail, the nailbed, and the surrounding tissue.
  • The paronychia is the lateral nail folds
  • The hyponychium is the palmar surface skin distal to the nail.
  • The lunula is that white semi-moon shaped proximal portion of the nail.
  • The sterile matrix is deep to the nail, adheres to it and is distal to the lunule.
  • The germinal portion is proximal to the matrix and is responsible for nail growth.
  • Lateral nail edge grows deep into nail wall → cycle of inflammation and hypertrophic granulation tissue can lead to abscess

Clinical Features

Typical ingrown toenail
  • Pain and swelling at distal nailbed, typically unilateral

Differential Diagnosis

Foot diagnoses

Acute

Subacute/Chronic

Evaluation

Workup

  • Typically does not require studies

Diagnosis

  • Typically a clinical diagnosis

Management

Disposition

  • Outpatient

See Also

External Links

References