Ingrowing toenails: is there a nail abnormality? A prospective study

Pearson, Henry J.; Bury, R. N.; Wapples, J.; Watkin, D. F. L.

doi:10.1302/0301-620x.69b5.3680356

Cited by 44 publications

(29 citation statements)

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“…2 This view was also supported by Pearson et al who noted that the average time for patients with in-grown toe nail to present in the clinic is between 5 to 6 months. 11 Our findings is similar and agree with this, with majority 10 (35.71%) of the patients presenting to the clinic between 5-6 months after developing symptoms, and this was statistically significant [χ 2 (p-value) = 17.23 (0.001) . As a result, 21 (75%) of them had wedge resection and surgical matricectomy.…”

Section: Discussionsupporting

confidence: 92%

“…This figure is similar to previous works by Burssens et al and pearson et al in 1987, but slightly lower than the 3:1 reported by Ariela et al 1,10,11 Males are more active and are prone to subtle trauma which may be precipitating factor in causing in-grown toe nails, and this may explain the higher incidence. Previous reports by Murray et al have also stated that in-grown toe nails occurred more in teenagers and young adults involved in sports and physical training.…”

Section: Discussionsupporting

confidence: 90%

“…10 Another study by Pearson et al, also stated that the lateral aspect of the toes is more commonly involved in the diseases. 11 Our study is similar to these finding as majority 13 (46.43%) of the Right big toe lesion were in the lateral aspect of the big toes 9 (69.23%) and this finding was statistically significant [χ 2 (p-value) = 3.85 (0.05)]. Again, pressure from the side of the short tight shoe to the nails may affect the lateral aspect of the toes, this may explain the high incidence of in-grown toe nails at the lateral aspect of the toes.…”

Section: 11mentioning

confidence: 99%

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Ingrown toe nail as seen in Bayelsa state Nigeria

Benjamin

Ejike

2017

Int J Adv Med

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Background: Ingrown toenails are common conditions of the foot causing pain, disability, and absence from work. It has been associated with use of tight foot wears, congenital anomalies of nail folds, nail plates, and medial rotation of the great toes; other predisposing factors include diabetes, obesity and cardiac disorders. It can be diagnosed clinically, and treatments include use of antibiotics analgesia and surgery. When untreated it may be complicated by sepsis, ulceration of nail fold and excessive granulation tissue formation osteomyelitis, gangrene of the leg.Methods: We observed an increase in the number of patients visiting our clinic with ingrown toe nails, and with no known work done on this subject in our environment we therefore conducted a questionnaire based prospective study between the periods January 2014 to June 2016 to determine the pattern of presentation, predisposing factors and treatment outcome. The data collected was analyzed using SPSS Version 20 for windows.Results: Twenty-eight (28) patients with age range 9 to 65 years, and mean age of 32, and male: female ratio of 2.1:1 were reviewed. The highest incidence was seen between the ages of 11 to 40 year old, and among students 8 (28.57%). Prevalence of 28.57% (n=8) was highest in those who wore tight/short shoes. The commonest presenting complains were pain, swelling (edema) and suppuration, with most patients 10 (35.71%) being seen in the clinic between 5-6 months of development symptoms. Ingrown toenails occurred statistically significantly more in the right big toe 13 (46.43%) [χ2 (p-value) = 19.43 (0.001). Amongst those whose anatomical site was at the right big toe, the Lateral aspect was 9 (69.23%).Conclusions: Most patients received Analgesics and Antibiotics and twenty one, 21(75%) of the patients had wedge resection and surgical destruction of the nail matrix.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 90%

Section: 11mentioning

confidence: 99%

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Ingrown toe nail as seen in Bayelsa state Nigeria

Benjamin

Ejike

2017

Int J Adv Med

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“…According to this theory, the wider load creates pressure, which in turn causes necrosis and inflammation that induce the ingrown toenail (16,19). Pearson et al (20) reported no nail abnormalities in symptomatic patients with ingrown toenails in a prospective study. They concluded that treatment should not be related to nail abnormalities.…”

Section: Discussionmentioning

confidence: 99%

An Evaluation of Partial Matrix Excision with Winograd Method for the Surgical Treatment of Ingrown Toenails

Güler¹,

Mahiroğulları²,

Mutlu³

et al. 2014

JAREM

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Objective: The most frequent nail pathology of the hallux is the ingrown toenail. In our study, we evaluated Winograd's partial matrix excision method as a treatment for unilateral ingrown hallux toenail.Methods: Winograd's partial toenail excision was performed on 239 patients (127 males, 112 females; mean age 37.4 years) with an ingrown toenail. Primary patient complaints included a painful hallux toenail, discharge, nail deformation, and difficulty walking. According to the Heifetz staging system, there were 62 patients evaluated as Stage l, 96 as Stage ll, and 81 as Stage lll. A total of 174 (74%) patients had discharge from infection. In infected cases, an antibiotic was administered until inflammatory signs and discharged ceased, at which time surgical treatment was performed. Patients' duration to return to daily living and work, recurrence ratio, satisfaction, and cosmetic issues were evaluated. The mean follow-up time was 27 months (range: 14-45 months).Results: Patients returned to daily living in 10-15 days (mean 11.3) and to work in 8.7 days (range: 6-13 days). A total of 230 patients (96.3%) were satisfied with the procedure, and 231 patients (96.6%) were satisfied with the cosmetic results. Nine patients were dissatisfied with the surgical outcome, and eight patients who experienced recurrence were dissatisfied with the cosmetic results. None of the patients experienced deep tissue infections or neurovascular complications. Conclusion:Winograd's partial matrix excision method is a beneficial surgical procedure for ingrown toenail, resulting in low recurrence and high satisfaction rates. (JAREM 2014; 1: 7-11) Key Words: Big toe, hallux, nail disorders, ingrown toenail surgery ÖZET Amaç: Tırnak batması, toplumda sık görülen ve en sık tırnak hastalığıdır. Bu çalışmada, ayak baş parmağına tek taraflı tırnak batması nedeniyle Winograd yöntemiyle kısmi matriks eksizyonu yapılan hastalarda tedavi sonuçları değerlendirildi.Yöntemler: Tırnak batması nedeniyle 239 hastaya (127 erkek, 112 kadın; ort. yaş 37,4) Winograd prosedürüne uygun olarak kısmi matriks eksizyonu uygulandı. Hastaların temel şikayetleri ayak baş parmağına ağrı, akıntı, tırnakta şekil bozukluğu ve yürüme güçlüğü idi. Heifetz'in tırnak batması evrelendirmesine göre 62 hasta evre I, 96 hasta evre II, 81 hasta evre III olarak değerlendirildi. Yüz yetmiş sekiz (%74) hastada enfeksiyon zemininde aktif akıntı vardı. Enfekte olgularda enflamasyon bulguları ve akıntı ortadan kalkıncaya kadar antibiyoterapi uygulandı ve sonrasında cerrahi tedavi yapıldı. Hastaların günlük hayat ve işe dönüş zamanları, nüks gelişme oranı, hasta memnuniyeti ve kozmetik sorunlar açısından değerlendirildi. Ortalama takip süresi 27 ay (dağılım 14-45 ay) idi.Bulgular: Dokuz hastada (%3,7) nüks görüldü. Ortalama nüks gelişim süresi 5,6 aydı (dağılım 2-9 ay). Hastalar ortalama 6,7 günde (dağılım 3-11 gün) günlük aktivitelerine geri döndü. İşe dönüş süresi ortalama 10,2 gün (dağılım 7-16 gün) bulundu. İkiyüzotuz (%96,3) hasta yapılan müdahaleden memnundu. İki yüz ...

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“…Diğer bir teoriye göre sorun tırnak plağında değil fazla miktardaki lateral tırnak duvarındadır (2,7). Her ne kadar yapılan prospektif bir çalışmada tırnak plağında bir anomali saptanamamış olsa da asıl problemin tırnakta olduğuna inanılmakta ve tedavilerin çoğunluğu tırnağa yönelik olarak dizayn edilmektedir (2,3,8).…”

Section: Etiyopatogenezunclassified

Treatment of Distal Lateral Ingrown Toenails

Tatlıcan¹

2017

tdd

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Ingrowing toenails: is there a nail abnormality? A prospective study

Cited by 44 publications

References 0 publications

Ingrown toe nail as seen in Bayelsa state Nigeria

Ingrown toe nail as seen in Bayelsa state Nigeria

An Evaluation of Partial Matrix Excision with Winograd Method for the Surgical Treatment of Ingrown Toenails

Treatment of Distal Lateral Ingrown Toenails

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