Idiopathic/simple onycholysis: Response to combination topical therapy

Chauhan, Ankita; Grover, Chander

doi:10.4103/idoj.idoj_11_22

Cited by 1 publication

(2 citation statements)

References 6 publications

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“…A more conservative approach was considered by Baran and Badillet [ 18 ], who suggested a solution to avoid nail microtraumatism against the shoe. Sano et al [ 15 ] also proposed a treatment to lower the toe and increase its bearing surface area in the case of distal phalanx dorsiflexion.…”

Section: Discussionmentioning

confidence: 99%

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Cross-sectional study of the prevalence of hyperextension of the first metatarsophalangeal joint and its relationship to onycholysis in women with hallux valgus

Giménez-López,

Barrios-Pitarque

2024

BMC Musculoskelet Disord

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Background Hallux Valgus (HV) deformity is associated with misalignment in the sagittal plane that affects the first toe. However, the repercussions of the first toe hyperextension in HV have been scarcely considered. The purpose of this study was to provide evidence of the association between first-toe hyperextension and the risk of first toenail onycholysis in HV. Methods A total of 248 HV from 129 females were included. The extension of 1st MTP joint was measured while the patient was in the neutral position of the hallux using a two-branch goniometer. The classification of the HV severity stage was determined by the Manchester visual scale, and the height of the first toe in the standing position was measured using a digital meter. An interview and clinical examination were performed to collect information on the presence of onycholysis of the first toe. Results Of the 248 HV studied, 100 (40.3%) had onycholysis. A neutral extension > 30 degrees was noted in 110 (44.3%) HV. The incidence of onycholysis was higher in HV type C than in type B (p = 0.044). The probability of suffering onycholysis in the right foot was 2.3 times greater when the neutral position was higher than 30 degrees (OR = 2.3; p = 0.004). However, this was not observed in the left foot (p = 0.171). Onycholysis was more frequent in HV with more than 2 cm height of the first toe (p < 0.001). For both feet, the probability of suffering onycholysis was greater for each unit increase in hallux height (right foot OR = 9.0402, p = 0.005; left foot OR = 7.6633, p = 0.010). Conclusions The incidence of onycholysis appears to be significantly associated with HV showing more than 30º extension, and more than 2 cm height of the first toe. Height and hyperextension of the first toe together with first toenail pathology should be mandatory in the evaluation of HV.

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Section: Discussionmentioning

confidence: 99%

“…The nail acquired a whitish colouration due to air entrapment and may contain keratinous debris. Its histopathology is nonspecific and frequently observed in adult women [ 15 , 16 ]. Generally, it is the precursor lesion of onychomycosis and distal subungual hyperkeratosis, and it is usually asymptomatic.…”

Section: Introductionmentioning

confidence: 99%

Cross-sectional study of the prevalence of hyperextension of the first metatarsophalangeal joint and its relationship to onycholysis in women with hallux valgus

Giménez-López,

Barrios-Pitarque

2024

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

Idiopathic/simple onycholysis: Response to combination topical therapy

Cited by 1 publication

References 6 publications

Cross-sectional study of the prevalence of hyperextension of the first metatarsophalangeal joint and its relationship to onycholysis in women with hallux valgus

Cross-sectional study of the prevalence of hyperextension of the first metatarsophalangeal joint and its relationship to onycholysis in women with hallux valgus

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