146 results match your criteria Nailbed Injuries


Evidence of macro- and micro-angiopathy in scleroderma: An integrated approach combining 22-MHz power Doppler ultrasonography and video-capillaroscopy.

Microvasc Res 2019 Mar 6;122:125-130. Epub 2018 Jul 6.

Division of Rheumatology, ASST Pini-CTO, Milano, Italy; Dept of Clinical Sciences & Community Health, Università degli Studi di Milano, Milano, Italy. Electronic address:

Objective: We aimed to study in SSc patients macrovascular involvement by using power Doppler ultrasound (PDUS) and microvascular one by PDUS and nailfold video-capillaroscopy (NVC) and to examine the association between history of digital ulcers (HDU) and imaging (PDUS and NVC) parameters.

Methods: NVC and PDUS were systematically performed in 106 consecutive SSc patients at the 3rd and 4th finger of the dominant hand after exclusion of ulnar artery occlusion (UAO). 22 MHz PDUS measurements included nailbed and fingertip qualitatively graded, and resistivity index (RI) of ulnar and radial proper digital arteries. Read More

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March 2019
3 Reads

Glomus tumor of the stomach.

Turk J Surg 2018 3;34(1):62-64. Epub 2018 Jan 3.

Department of Gastroenterology, Bezmialem Vakıf University School of Medicine, İstanbul, Turkey.

Glomus tumor is a rare benign mesenchymal neoplasm derived from the glomus body, an arteriovenous shunt mainly located in dermis and subcutis. The most common localization of this tumor is extremities, especially nailbed. Glomus tumor in the gastrointestinal system is a rare condition. Read More

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January 2018
10 Reads

Management of Nail Bed Injuries Associated with Fingertip Injuries.

Indian J Orthop 2017 Nov-Dec;51(6):709-713

Department of Physiology, Sree Narayana Institute of Medical Sciences, Ernakulum, Kerala, India.

Background: Management of nail injuries can often be a challenging experience, especially in presence of complex fingertips' injuries that include soft tissue loss and distal phalanx injury. Most studies found in the literature focus on individual injuries and describe methods to tackle those injuries, notwithstanding the fact that the nail, nailbed, distal phalanx, soft tissue and skin of the finger tip form a complex and often more than one element of this complex is injured. This retrospective study therefore focuses on the management of nail bed injuries as a part of the complex finger tip injury and outlines the surgical principles and techniques that were used in their management. Read More

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December 2017
3 Reads

What is your diagnosis? Aspirate from a digit of a dog.

Vet Clin Pathol 2017 Dec 10;46(4):637-638. Epub 2017 Jul 10.

Veterinary Pathology Services, The Joint Pathology Center, Silver Spring, MD, USA.

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December 2017

Extended bandwidth wavelength swept laser source for high resolution optical frequency domain imaging.

Opt Express 2017 Apr;25(7):8255-8266

Improving the axial resolution by providing wider bandwidth wavelength swept lasers remains an important issue for optical frequency domain imaging (OFDI). Here, we demonstrate a wide tuning range, all-fiber wavelength swept laser at a center wavelength of 1250 nm by combining two ring cavities that share a single Fabry-Perot tunable filter. The two cavities contain semiconductor optical amplifiers with central wavelengths of 1190 nm and 1292 nm, respectively. Read More

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April 2017
11 Reads

Acquired blue nevus of the nail bed.

Dermatol Online J 2017 Feb 15;23(2). Epub 2017 Feb 15.

Department of Dermatology, University of Connecticut Health Center, Farmington. Steven.Sloan@ va.gov.

Blue nevi are benign proliferations of melaninproducingdendritic melanocytes located in thedermis. These nevi tend to occur mostly on the skin,predominantly on the head and neck, dorsal aspectsof the distal extremities, and the sacral area, butcan also occasionally appear on mucosal surfaces.Blue nevi of the nail apparatus are uncommon. Read More

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February 2017
2 Reads

Open physeal fracture of the distal phalanx of the hallux.

Am J Emerg Med 2017 Jul 6;35(7):1035.e1-1035.e3. Epub 2017 Feb 6.

Kansas University Medical Center, Department of Orthopedic Surgery, Kansas City, KS, United States.

Open physeal fractures of the distal phalanx of the hallux are the lesser described counterpart to the same fracture of the finger, known by its eponym as a "Seymour fracture". Displaced Salter-Harris phalangeal fractures present with a concomitant nailbed or soft tissue injury. Often these fractures occur in the summer months when open-toe footwear can be worn, however, they may occur indoors as well. Read More

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July 2017
23 Reads

Glomus Tumor - A Rarity; M.R.I- A big help in early Diagnosis.

J Orthop Case Rep 2016 Jul-Aug;6(3):38-39

Department of Radiology, S.G.R.D Medical college, Amritsar, India.

Introduction: Glomus tumor is a rare benign tumor arising from neuroarterial plexus concentrated beneath the nailbed usually in women of age group 20-40 yrs. The plexus is an arteriovenous anastomosis functioning without intermediary capillary bed, we report a case of glomus tumor affecting the nailbed of left little finger with characteristic periodic, spontaneous excruciating pain and temperature related algesia for the last 6 months. MRI helped in clinching the diagnosis at an early stage. Read More

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January 2017
1 Read

Musculoskeletal Injuries Resulting from Use of Hoverboards: Safety Concerns With an Unregulated Consumer Product.

Clin Pediatr (Phila) 2018 Jan 22;57(1):31-35. Epub 2017 Jan 22.

1 Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Hoverboards were recently introduced to the US consumer market and experienced rapid popularity. Given the high frequency of musculoskeletal injury with other wheeled recreation devices, we sought to analyze hoverboard injuries in children. A retrospective review of patients with musculoskeletal injury related to hoverboard use was performed at a tertiary care children's hospital. Read More

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January 2018
4 Reads

Effect of stimulus type and temperature on EEG reactivity in cardiac arrest.

Clin Neurophysiol 2016 Nov 10;127(11):3412-3417. Epub 2016 Sep 10.

Department of Neurology, Brigham and Women's Hospital, USA. Electronic address:

Objective: Electroencephalogram (EEG) background reactivity is a reliable outcome predictor in cardiac arrest patients post therapeutic hypothermia. However, there is no consensus on modality testing and prior studies reveal only fair to moderate agreement rates. The aim of this study was to explore different stimulus modalities and report interrater agreements. Read More

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November 2016
7 Reads

Dorsal approach for vascular repairs in distal finger replantations.

Authors:
Fatih Kabakaş

Microsurgery 2016 Nov 9;36(8):628-636. Epub 2016 Apr 9.

Hand and Microsurgery Department, Medicalpark Gebze Hospital, Istanbul Bilgi University, Medicalpark Gebze Hospital Kavak Cad. No.3 Gebze-Kocaeli, Turkey.

Introduction: Distal finger replantations are technically difficult operations due to small vessel sizes and narrow field of vision. The results of 25 distal finger replantations performed by dorsal approach are presented. The technical benefits and details of this technique is discussed with a literature review. Read More

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November 2016
3 Reads

Lean mass predicts conditioned pain modulation in adolescents across weight status.

Eur J Pain 2016 07 13;20(6):967-76. Epub 2016 Jan 13.

Clinical & Translational Rehabilitation Health Sciences PhD Program, Department of Physical Therapy, Marquette University, Milwaukee, USA.

Background: There is a wide continuum of conditioned pain modulation (CPM) in adults with older adults experiencing an attenuated CPM response compared with younger adults. Less is known for adolescents and the role of anthropometrics.

Methods: Fifty-six adolescents (15. Read More

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The Reverse Cross Finger Flap.

Authors:
Erdoğan Atasoy

J Hand Surg Am 2016 Jan;41(1):122-8

Division of Hand Surgery, Department of Surgery, Christine M. Kleinert Institute for Hand and Microsurgery, Kleinert Kutz Hand Care Center, University of Louisville, Louisville, KY. Electronic address:

The reverse cross finger flap is usually performed on patients with deep dorsal digital skin, nailbed, and extensor tendon injuries that cannot be repaired and grafted. These patients will require additional dorsal digital flaps from the adjacent fingers. Read More

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January 2016
7 Reads

The High Risk of Infection With Delayed Treatment of Open Seymour Fractures: Salter-Harris I/II or Juxta-epiphyseal Fractures of the Distal Phalanx With Associated Nailbed Laceration.

J Pediatr Orthop 2017 Jun;37(4):247-253

*Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center †Children's Medical Center of Dallas ‡Texas Scottish Rite Hospital for Children, Dallas, TX.

Background: To describe treatment methods and complication rates of all open Seymour fractures (Salter-Harris I/II or juxta-epiphyseal fractures of the distal phalanx of the hand with associated nailbed laceration) treated at or referred to a pediatric level 1 trauma center over a 10-year time period. We hypothesized that delayed treatment of Seymour fractures results in higher infectious complication rates.

Methods: We identified all patients treated for open Seymour fractures at the orthopaedic hand clinic at our level 1 pediatric trauma center between August 2002 and December 2012. Read More

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June 2017
5 Reads

Treatment of Painful Nonunion of the Distal Phalanx in the Finger With Bone Graft and Dorsal Reverse Adipofascial Flap Based on an Exteriorized Pedicle.

Tech Hand Up Extrem Surg 2015 Sep;19(3):115-9

Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland.

Reconstruction of the distal phalanx bone in cases with painful nonunion is a rare and challenging problem. To restore anatomy and to provide a good cover for the bone graft, an intact nailbed is often required due to the proximity of these 2 structures. We present 3 cases of distal phalanx reconstruction performed with a free corticocancellous bone graft from the distal radius and nailbed reconstruction with a homodigital dorsal reverse adipofascial flap based on an exteriorized pedicle that avoids the dissection of the germinal matrix of the nail. Read More

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September 2015
2 Reads

Anatomy of the nail unit and the nail biopsy.

Authors:
Eckart Haneke

Semin Cutan Med Surg 2015 Jun;34(2):95-100

Department of Dermatology, Inselspital, University of Bern, Switzerland.

The nail unit is the largest and a rather complex skin appendage. It is located on the dorsal aspect of the tips of fingers and toes and has important protective and sensory functions. Development begins in utero between weeks 7 and 8 and is fully formed at birth. Read More

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June 2015
6 Reads

Mechanism and epidemiology of paediatric finger injuries at Prince of Wales Hospital in Hong Kong.

Hong Kong Med J 2015 Jun 8;21(3):237-42. Epub 2015 May 8.

Department of Orthopaedics and Traumatology, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.

Objectives: To determine the mechanism and epidemiology of paediatric finger injuries in Hong Kong during 2003-2005 and 2010-2012.

Design: Comparison of two case series.

Setting: University-affiliated teaching hospital, Hong Kong. Read More

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June 2015
3 Reads

Innervated Digital Artery Perforator Propeller Flap for Reconstruction of Lateral Oblique Fingertip Defects.

J Hand Surg Am 2015 Jul 4;40(7):1382-8. Epub 2015 May 4.

Division of Plastic Surgery, University of Miami Miller School of Medicine, Miami, FL. Electronic address:

Purpose: To report our experience with the use of a digital artery perforator propeller flap based on a constant distal perforator in the middle phalanx for resurfacing of lateral oblique fingertip amputations.

Methods: Twelve fingertips in 10 patients underwent reconstruction, with a mean follow-up of 8 months (range, 8-12 mo). The size of the flaps ranged from 2. Read More

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July 2015
11 Reads

Pain Response after Maximal Aerobic Exercise in Adolescents across Weight Status.

Med Sci Sports Exerc 2015 Nov;47(11):2431-40

1Clinical and Translational Rehabilitation Health Sciences, Department of Physical Therapy, Marquette University, Milwaukee, WI; 2Program in Exercise Science, Department of Physical Therapy, Marquette University, Milwaukee, WI; and 3Herma Heart Center, Children's Hospital of Wisconsin, Milwaukee, WI.

Introduction: Pain reports are greater with increasing weight status, and exercise can reduce pain perception. It is unknown, however, whether exercise can relieve pain in adolescents of varying weight status. The purpose of this study was to determine whether adolescents across weight status report pain relief after high-intensity aerobic exercise (exercise-induced hypoalgesia (EIH)). Read More

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November 2015

[Management of peripheral injuries of the finger].

Authors:
A Wichelhaus

Unfallchirurg 2015 Feb;118(2):155-66; quiz 167-9

Abteilung für Unfall-, Hand- und Wiederherstellungschirurgie, Chirurgische Universitätsklinik, Universitätsmedizin Rostock, Schillingallee 35, 18055, Rostock, Deutschland,

The treatment of acute peripheral finger injuries is part of the daily routine of surgeons in emergency departments. This article presents the most common forms of peripheral finger injuries and the specific diagnostic and therapeutic aspects. The injuries include incision and tear injuries, injuries to the nailbed, distal extensor tendon injuries, severed flexor tendons of the distal joint, bite injuries, high-pressure injection injuries and amputation injuries of the distal phalanx of fingers. Read More

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February 2015
2 Reads

Nailbed reconstruction using dermal regeneration template.

J Plast Reconstr Aesthet Surg 2014 Dec 2;67(12):e303-5. Epub 2014 Jun 2.

Department of Plastic and Reconstructive Surgery, Hospital Clinic, C/Villarroel n° 170, Barcelona 08036, Spain.

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December 2014

Artery-only fingertip replantations using a controlled nailbed bleeding protocol.

J Hand Surg Am 2013 Nov;38(11):2173-9

Department of Orthopaedic Surgery, Anadolu Medical Center, Kocaeli, Turkey; Department of Orthopaedic Surgery, Academic Hospital, Istanbul, Turkey. Electronic address:

Purpose: We report our experience, treatment protocol, and 2-year follow-up results of 24 fingertip replantations treated using the artery-only technique without vein or nerve repair.

Methods: We performed a retrospective review of 24 patients who had undergone fingertip replantation at the same center between 2005 and 2011. All patients in this study had complete fingertip amputation at or distal to the distal interphalangeal joint of the fingers or interphalangeal joint of the thumb. Read More

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November 2013
5 Reads

An obliquely placed headless compression screw for distal interphalangeal joint arthrodesis.

J Hand Surg Am 2013 Dec 1;38(12):2360-4. Epub 2013 Nov 1.

Department of Orthopaedic Surgery, School of Medicine, Keio University; and the Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan. Electronic address:

Purpose: To assess the outcomes of our technique involving oblique headless compression screw for arthrodesis of the thumb interphalangeal joint and the distal interphalangeal joints of the other digits.

Methods: A total of 28 joints (19 thumb interphalangeal and 9 distal interphalangeal) in 23 patients with a mean age of 65 years (range, 58-74 y) were retrospectively analyzed. All operations were performed with the Acutrak2 micro-screw. Read More

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December 2013
14 Reads

Osteocutaneous VY flap to preserve length in coronal oblique fingertip amputation.

Authors:
Tun Lin Foo M Arul

Hand Surg 2013 ;18(2):297-9

Hand and Microsurgery Section, Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore 308433, Singapore.

Radial or ulnar oblique amputations treated by nailbed levelling and local digital flap reconstruction can result in significantly shortened fingertip, narrowed pulp and nail shape distortion. A VY type flap containing bone, sterile matrix, and skin was conceptualised to restore nail and pulp contour for coronal oblique amputations. Technical details and a clinical case are discussed. Read More

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July 2014
6 Reads

Association between a composite score of pain sensitivity and clinical parameters in low-back pain.

Clin J Pain 2014 Oct;30(10):831-8

*Laboratory for Human Experimental Pain Research, Department of Health Science and Technology, Center for Sensory-Motor Interaction, University of Aalborg, Aalborg †Spine Center of Southern Denmark, Lillebælt Hospital, Middelfart ‡Clinical Locomotion Science Network, University of Southern Denmark, Odense, Denmark.

Background And Aims: A limited number of quantitative sensory pain tests (QST) were selected on the basis of ease of application and interpretation in a clinical setting. QST results were summarized as a composite score on a scale of 0 to 4 that was deemed to facilitate clinical interpretation. The QST set was used to investigate differences in pain sensitivity between low-back pain (LBP) subgroups and was correlated with important clinical parameters. Read More

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October 2014
6 Reads

Fingertip reconstruction with simultaneous flaps and nail bed grafts following amputation.

J Hand Surg Am 2013 Jul 23;38(7):1307-14. Epub 2013 May 23.

Department of Plastic and Reconstructive Surgery, Bundang CHA Medical Center, CHA University, Seongnam, Korea.

Purpose: To report our technique and results with treating fingertip amputations with flaps and simultaneous nailbed grafts.

Methods: We reconstructed 20 fingertip amputations with loss of bone and nail with flaps combined with nailbed grafts. We reconstructed the volar side of the fingertip with a flap, and the dorsal side of the fingertip with a nailbed grafted to the raw inner surface of the flap. Read More

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July 2013
3 Reads

A technique for the non-microsurgical reconstruction of thumb tip amputations.

J Plast Reconstr Aesthet Surg 2013 Jul 6;66(7):973-7. Epub 2013 Apr 6.

Department of Plastic and Reconstructive Surgery, Ninth People's Hospital, Medical School of Shanghai Jiao Tong University, Shanghai, China.

Purpose: This article aims to present a technique for thumb tip amputations using a homodigital soft-tissue/periosteum flap and a portion of the amputated digit.

Methods: Eight patients (aged 21-53 years) with avulsion thumb tip amputations were reviewed. We report a new technique in which a bone and nailbed composite graft was taken from the amputated portion of the thumb and a dorsoulnar flap combined with periosteum was harvested from the first metacarpal and designed to cover the volar bone. Read More

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July 2013
1 Read

Pediatric hand and wrist injuries.

Curr Rev Musculoskelet Med 2013 Mar;6(1):18-25

Department of Orthopaedic Surgery, Johns Hopkins University, 601 North Caroline Street, Baltimore, MD, 21287, USA,

In the last 40 years, childhood hand and wrist injuries have become progressively more common as children have become heavier and more active in high impact sports. The majority of children with such injuries do well, but treatment is not always straightforward. Distal radius fractures, scaphoid fractures, metacarpal and phalangeal fractures, nailbed injuries, and amputations are among the pediatric hand and wrist injuries most often seen by orthopedists. Read More

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March 2013
1 Read

Pulsation of the nailbed.

Lancet 2012 Nov 27;380(9855):1767. Epub 2012 Jul 27.

Department of Family Medicine, Chi Mei Medical Center, Tainan City, Taiwan.

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November 2012
1 Read

Longitudinal melonychia: clinical evaluation and biopsy technique.

J Hand Surg Am 2011 Nov 29;36(11):1852-4. Epub 2011 Sep 29.

Department of Plastic Surgery, Medical College of Wisconsin, Milwaukee, WI 53226, USA.

Longitudinal melonychia is a brown streaking of the nailbed. It is often benign but can be a subungual melanoma. Subungual melanoma is a rare malignancy. Read More

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November 2011
1 Read

Cold-induced vasodilatation following traumatic median or ulnar nerve injury.

J Hand Surg Am 2011 Jun 22;36(6):986-93. Epub 2011 Apr 22.

Department of Plastic, and the Department of Anesthesiology, Pain Treatment Centre, Erasmus MC, Rotterdam, The Netherlands.

Purpose: Peripheral nerve injury of the upper extremity frequently causes changes in the thermoregulatory system of the hands and fingers and leads to reports of cold intolerance. In this study, we aimed to measure the influence of median or ulnar nerve injury on cold-induced vasodilatation (CIVD) during prolonged cooling at low temperatures.

Methods: We tested 12 patients with a median (n = 6) or ulnar (n = 6) injury 4 to 76 months after nerve repair. Read More

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June 2011
4 Reads

Diagnostic accuracy of "pallor" for detecting mild and severe anaemia in hospitalized patients.

J Pak Med Assoc 2010 Sep;60(9):762-5

King Edward Medical University, Lahore.

Objective: To determine the accuracy of pallor of conjunctiva, nailbed, and palm in detecting mild and severe anaemia.

Methods: Three hundred and five consecutive patients admitted in the medical and surgical wards of Mayo Hospital, Lahore were enrolled in the study. Conjunctiva, nailbed, and palm of patients were assessed. Read More

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September 2010
3 Reads
3 Citations
0.400 Impact Factor

Extrusion of bone anchor suture following flexor digitorum profundus tendon avulsion injury repair.

J Plast Reconstr Aesthet Surg 2011 Sep 16;64(9):1242-4. Epub 2011 Feb 16.

Department of Plastic and Reconstructive Surgery, Cork University Hospital, Cork, Ireland.

Flexor digitorum profundus (FDP) zone I tendon avulsion injury is traditionally repaired with a pullout suture technique. More recently, bone anchor sutures have been used as a viable alternative and have largely replaced areas in hand surgery where pullout suture technique was once required. To date, there have been very few complications reported related to bone anchor suture use in FDP tendon reattachment to the bone. Read More

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September 2011
2 Reads

Ungual and periungual human papillomavirus-associated squamous cell carcinoma: a review.

J Am Acad Dermatol 2011 Jun 18;64(6):1147-53. Epub 2011 Feb 18.

M D Anderson Cancer Center, University of Texas at Houston, Texas, USA.

Background: Human papillomavirus (HPV)-associated squamous cell carcinoma (SCC) and SCC in situ are often reported in the genital region. The association of HPV with SCC in the ungual and periungual skin is less well recognized, and verrucous lesions may undergo years of therapeutic attempts without a diagnostic biopsy.

Objectives: To review the epidemiology, associations, and role of HPV in digital SCC and SCC in situ. Read More

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June 2011
5 Reads

Surgical treatment of ingrown toenails in children: what is best practice?

Ann R Coll Surg Engl 2011 Mar 12;93(2):99-102. Epub 2010 Nov 12.

Department of Paediatric Surgery, Royal Hospital for Sick Children, Edinburgh, UK.

Introduction: Surgery for ingrowing toenails carries a significant re-operation rate. We reviewed our departmental figures to assess the optimal management of these patients.

Patients And Methods: We performed a 10-year retrospective review of all patients undergoing surgery for ingrown toenails (IGTN) in order to determine the operations most commonly used and the re-operation rate of each of these procedures. Read More

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March 2011
10 Reads

Nailbed repair and patient satisfaction in children.

Ann R Coll Surg Engl 2010 Sep 28;92(6):483-5. Epub 2010 May 28.

Department of Plastic & Reconstructive Surgery, St George's Hospital, London, UK.

Introduction: We performed an audit to assess frequency of injury to the nail bed and outcomes after repair in a busy paediatric hand trauma clinic.

Subjects And Methods: This retrospective study examines 46 consecutive nail bed repairs over a 6-month period. All notes were reviewed for patient demographics, details of the injury including the operation and aftercare. Read More

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September 2010
2 Reads

Accuracy and reliability of pallor for detecting anaemia: a hospital-based diagnostic accuracy study.

PLoS One 2010 Jan 1;5(1):e8545. Epub 2010 Jan 1.

Department of Medicine, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India.

Background: Anaemia is a common disorder. Most health providers in resource poor settings rely on physical signs to diagnose anaemia. We aimed to determine the diagnostic accuracy of pallor for anaemia by using haemoglobin as the reference standard. Read More

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January 2010
8 Reads

[A man with a nail defect of the middle finger].

Ned Tijdschr Geneeskd 2009 ;153:B132

Amphia Ziekenhuis, afd. Dermatologie, Breda, The Netherlands.

A 64-year-old man had central nail loss and a tumour on the nailbed of his right middle finger (digitus III), due to an amelanotic malignant melanoma. Read More

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February 2010
2 Reads

[Subungual squamous cell carcinoma. An important differential diagnosis of subungual tumors].

Hautarzt 2009 Apr;60(4):282-3

Hautklinik des Universitätsklinikums Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf.

A 63-year-old patient presented with a 12-month history of a subungual tumor on the right middle finger. The patient had had a similar lesion involving his left index finger 5 years ago, which was identified as a subungual squamous cell carcinoma. Ablation of the nail plate, the nailbed and the matrix was performed. Read More

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Shiny-side down is best for foil splints after nailbed repairs.

Authors:
James Henderson

J Plast Reconstr Aesthet Surg 2009 Apr 31;62(4):479. Epub 2009 Jan 31.

Department of Plastic and Reconstructive Surgery, Addenbrooke's Hospital, Box 186, Cambridge, CB2 20QQ, UK.

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April 2009
1 Read

The cross-digital dorsal adipofascial flap.

Authors:
M M Al-Qattan

Ann Plast Surg 2008 Feb;60(2):150-3

Department of Surgery, King Saud University, Riyadh, Saudi Arabia.

The "homodigital distally based" dorsal adipofascial flap has been used by various authors to cover small, complex, dorsal, digital defects. In 2004, Al-Qattan reported on 3 cases in which a "distally based" dorsal adipofascial flap was used in a "cross-digital" fashion. In the current report, we expand on the concept of cross-digital adipofascial flaps in which the flaps are based not only distally but also proximally or laterally located. Read More

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February 2008
3 Reads

Keratoacanthoma causing beak deformity in a budgerigar (Melopsittacus undulatus).

Avian Pathol 2007 Dec;36(6):499-502

School of Veterinary Science, The University of Queensland, St Lucia, Queensland, Australia.

This report describes a keratoacanthoma causing abnormal maxillary beak growth in a 6-year-old male budgerigar (Melopsittacus undulates). Although the bird was still capable of eating, it had recently been demonstrating signs of respiratory distress and euthanasia was recommended. On histological examination, the neoplasm was dramatically effacing the normal structure of the maxilla and infiltrating into the rostral nasal sinuses. Read More

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December 2007
1 Read

Dorsal V-Y advancement flap for amputations of the fingertips.

Scand J Plast Reconstr Surg Hand Surg 2007 ;41(6):315-9

Department of Plastic and Reconstructive Surgery, Vakif Gureba Training and Research Hospital, Istanbul, Turkey.

Amputations of the fingertip are the most common injuries to the upper limbs, and they cause greatest socioeconomic losses. The first choice of the technique of repair should be the simplest and fastest, with rapid restoration of function and an acceptable aesthetic appearance, and should return the worker to his job rapidly to prevent economic loss. Volar V-Y advancement flaps should therefore be considered first, but unless the dorsal loss is greater than the volar, this first choice of flap cannot be used because of the inadequate donor area. Read More

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June 2008
3 Reads

Human papillomavirus type 26 infection causing multiple invasive squamous cell carcinomas of the fingernails in an AIDS patient under highly active antiretroviral therapy.

Br J Dermatol 2007 Oct 19;157(4):788-94. Epub 2007 Jul 19.

Department of Dermatology, Division of Immunology, Allergy and Infectious Diseases, Medical University of Vienna, Währinger Gürtel 18-20, A-1090 Vienna, Austria.

Squamous cell carcinoma (SCC) of the nail unit is a rare disorder. An association with high-risk genital human papillomavirus (HPV) infection has been reported. We report a 28-year-old human immunodeficiency virus (HIV)-infected bisexual man who had multiple invasive SCC of the fingers, infected with the rare type HPV 26. Read More

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October 2007
2 Reads

Nailfold capillaroscopy is useful for the diagnosis and follow-up of autoimmune rheumatic diseases. A future tool for the analysis of microvascular heart involvement?

Rheumatology (Oxford) 2006 Oct;45 Suppl 4:iv43-6

Research Laboratory and Division of Rheumatology, Department of Internal Medicine, University of Genova, Viale Benedetto XV, 6, 16132 Genova, Italy.

Raynaud's phenomenon (RP) represents the most frequent clinical aspect of cardio/microvascular involvement and is a key feature of several autoimmune rheumatic diseases. Moreover, RP is associated in a statistically significant manner with many coronary diseases. In normal conditions or in primary RP (excluding during the cold-exposure test), the normal nailfold capillaroscopic pattern shows a regular disposition of the capillary loops along with the nailbed. Read More

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October 2006
14 Reads

A high-resolution magnetic resonance imaging study of distal interphalangeal joint arthropathy in psoriatic arthritis and osteoarthritis: are they the same?

Arthritis Rheum 2006 Apr;54(4):1328-33

Academic Unit of Musculoskeletal Disease, Chapel Allerton Hospital, and University of Leeds, UK.

Objective: Distal interphalangeal (DIP) joint arthropathy is characteristic of both psoriatic arthritis (PsA) and osteoarthritis (OA), but the microanatomic basis for DIP joint localization is poorly understood. This study used high-resolution magnetic resonance imaging (MRI) to investigate the basis for hand disease localization in both conditions.

Methods: Twenty patients matched for disease duration (10 with DIP joint PsA and 10 with DIP joint OA) and 10 normal control subjects were scanned with a 1. Read More

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April 2006
3 Reads

Pharmacist interventions in geriatric nursing facility NSAID therapy: a one-year follow-up study of costs and outcomes.

Consult Pharm 2005 Jun;20(6):492-7

College of Pharmacy, University of Georgia, Athens, GA 30602-2354, USA.

Objectives: To document costs and outcomes occurring with acceptance or rejection of ongoing pharmacists' interventions regarding therapy with a nonsteroidal anti-inflammatory drug (NSAID) versus acetaminophen (APAP) therapy in treating osteoarthritis in a long-term care facility in the sixth year of observation.

Design: A nonrandomized observational prospective cohort study with all patients resident for 30 or more days over the 12-month study period receiving NSAID or APAP therapy for osteoarthritis.

Setting: A skilled nursing facility with more than 100 beds. Read More

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June 2005
1 Read

Reverse homodigital artery flap coverage for bone and nailbed grafts in fingertip amputations.

Ann Plast Surg 2006 Mar;56(3):279-83

Department of Plastic and Reconstructive Surgery, Kocaeli University Faculty of Medicine, Turkey.

The main aim of the treatment of fingertip amputations with no indication of replantation was to establish the functional and esthetic construction. The critical point in the utilization of the bone and nail tissue as a graft for reconstruction was to choose a flap that is sufficiently vascular to nourish these grafts. We have performed homodigital artery flaps to cover the bone and nailbed grafts taken from the amputation to restore fingertip function with an acceptable result. Read More

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March 2006
4 Reads