PMID: 11901462Mar 20, 2002Paper

Prevention of the parrot beak deformity in fingertip injuries

Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand
A N Pandya, H P Giele

Abstract

The nail is supported by the dorsal tuft of the terminal phalanx. Following distal fingertip trauma, varying amounts of nail support may be lost resulting in the nail curving palmarwards. This curvature is dependent upon the degree of bony loss, the amount of remaining nail bed and the degree of scar contracture at the hyponychial-pulp interface. The parrot beak or hooked nail deformity is most commonly caused by tight closure of a fingertip amputation and excessive palmar tension at the hyponychial-pulp suture line. A simple technique using a hypodermic needle, that eliminates tension from the suture line at the fingertip pulp-hyponychial interface and prevents hooked nail deformity is described. This allows healing to take place without any palmarwards pull of the scar and a subsequent parrot beak deformity.

References

Mar 1, 1988·British Journal of Plastic Surgery·D M Evans, D L Martin
Jan 1, 1983·The Journal of Hand Surgery·E AtasoyM Kalisman
Aug 1, 1980·Plastic and Reconstructive Surgery·R Venkataswami, N Subramanian

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Citations

Sep 4, 2008·Plastic and Reconstructive Surgery·Joshua A LemmonRod J Rohrich
Sep 27, 2014·The Journal of Hand Surgery·Steven L PetersonMichael J Wheatley
Oct 2, 2013·Clinics in Dermatology·Martin N Zaiac, Ashley Walker
Sep 10, 2010·Clinical and Experimental Dermatology·T DesaiS Loghdey
Aug 18, 2005·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·G D Smith, R Moreno
Mar 27, 2015·Journal of the European Academy of Dermatology and Venereology : JEADV·P Palomo LópezM E Losa Iglesias
Dec 21, 2017·Dermatology and Therapy·Stella X Chen, Philip R Cohen

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