Congenital ingrown toenail of the hallux

Journal of Pediatric Orthopedics
Jason A Grassbaugh, Vincent S Mosca

Abstract

Ingrown toenail in the infant is a rare entity that has only occasionally been discussed in the medical literature. At birth, or soon thereafter, children present with bilateral ingrown hallux toenails notable for pain, tenderness, erythema, purulence, and hypertrophy of the skin and fat of the distal end of the great toes extending over the dorsum of the nail plates. Inflammatory and infectious granulation tissue develops with time. We present a case series of 4 patients with bilateral congenitally ingrown hallux toenails. Conservative and surgical treatment modalities were used, with 3 of 4 patients undergoing wedge resection of the hypertrophic soft tissues at the distal end of the toes. There were excellent results in both feet of all patients with resolution of the condition and no recurrences in any patient. Clinical photos are provided for all patients. Ingrown toenail in the infant is a rare entity that occasionally requires surgical treatment. Excellent results are expected with wedge resection of the hypertrophic soft tissues.

References

Sep 9, 1978·British Medical Journal·F B Bailie, D M Evans
Mar 1, 1991·Pediatric Dermatology·J L CohenA S Pappert
Sep 1, 1973·The British Journal of Dermatology·R S Chapman
Jul 1, 1982·Clinical Pediatrics·P J HonigJ J Leyden
Jan 1, 1995·Journal of the American Podiatric Medical Association·R T Bouché
Mar 1, 1996·Journal of the American Academy of Dermatology·A M Katz

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Citations

Oct 21, 2016·Journal of the European Academy of Dermatology and Venereology : JEADV·M ChinazzoA Maruani
Nov 22, 2011·Foot & Ankle International·Murat KayalarYalçin Ademoğlu
Jun 3, 2018·Pediatrics in Review·William SearsAndrew Shriner

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