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Case Reports
. 2016 Nov;10(11):PD01-PD02.
doi: 10.7860/JCDR/2016/20241.8770. Epub 2016 Nov 1.

Post-Traumatic Ectopic Nail: A Case Report and Review of Literature

Susanta Meher  1 , Tushar Subhadarshan Mishra  2 , Prakash Kumar Sasmal  3 , Bikram Rout  1 , Rakesh Sharma  1
Affiliations
Case Reports

Post-Traumatic Ectopic Nail: A Case Report and Review of Literature

Susanta Meher et al. J Clin Diagn Res. 2016 Nov.

Abstract

Ectopic nail or Onychoheterotopia is an uncommon clinical entity. They are usually congenital; the acquired variety is very rare. The exact pathogenesis of the disease is not clear. They present as a nail like outgrowth, distinct from the classic nail units which is usually asymptomatic. The dorsal aspect of fingers and toes are mostly affected. We present a case of a 24-year-old male with post-traumatic ectopic nail of right middle finger. Complete surgical excision of the ectopic nail was done with its germinal matrix. The patient didn't have any evidence of recurrence after one year of follow-up, with satisfactory cosmetic outcome. This article highlights the classic presentation of a case of ectopic nail with its surgical management and brief review of literature.

Keywords: Germinal matrix; Onychoheterotopia; Recurrence; Surgical excision.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
(a) Post traumatic ectopic nail right middle finger (lateral view) with a well formed ectopic nail; (b) Ectopic nail arising from the eponychium; (c) Ectopic nail after exposure of the rectangular skin flap showing a well formed ectopic nail; (d) Ectopic nail excised with a part of the germinal matrix.
[Table/Fig-2]:
[Table/Fig-2]:
X-Ray right hand (Lateral view) with no evidence of bony changes.
[Table/Fig-3]:
[Table/Fig-3]:
(a) Follow-up photograph after one month of operation; (b) Photogragh after one year follow up with improved and satisfactory cosmetic outcome.
See this image and copyright information in PMC

References

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