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  1. Acute activity-related toenail injuries are common among athletes and are typically caused by repetitive microtrauma, such as the nail plate striking footwear. Long-term complications include secondary fungal infections and nail plate deformities, including retronychia.

    • Onychomycosis

      Nails have asymptomatic patches of white or yellow...

    • Ingrown Toenail

      An ingrown toenail is incurvation or impingement of a nail...

    • What Is Median Canaliform Nail Dystrophy?
    • Who Gets Median Canaliform Nail Dystrophy?
    • What Causes Median Canaliform Nail Dystrophy?
    • What Are The Clinical Features of Median Canaliform Nail Dystrophy?
    • What Are The Complications of Median Canaliform Nail Dystrophy?
    • How Is Median Canaliform Nail Dystrophy Diagnosed?
    • What Is The Differential Diagnosis For Median Canaliform Nail Dystrophy?
    • What Is The Outcome For Median Canaliform Nail Dystrophy?

    Median canaliform nail dystrophy is a clinically characteristic change in the nail plate presenting as a midline longitudinal furrow or split and transverseridges angled backwards in a fir-tree pattern.

    Median canaliform nail dystrophy can affect all age groups, including children. Familialcases have been reported. It affects men and women equally.

    Median canaliform nail dystrophy is an acquired nail change believed to be due to microtrauma of the nail matrix, resulting in a temporary defect in keratinocyte adhesionthat affects tensile strength of the nail plate. The majority of cases appear to be sporadic or idiopathic. There have been rare reports with systemicisotretinoin use. A similar bu...

    Median canaliform nail dystrophy most commonly involves both thumbnails, although it can be unilateral. Other fingernails and toenails can also be affected. The longitudinal split extends from the proximal nailfoldto the free edge of the nail. It is usually in the midline but may be off-centre. The transverse ridges or splits are parallel and are a...

    Median canaliform nail dystrophy is mainly of cosmetic concern, however the splits in the nail can catch on clothing.

    Median canaliform nail dystrophy is a clinical diagnosis. Investigations may be required if there are clinical signs to suggest an underlying tumour.

    Subungual tumours, including glomus tumour and digital myxoid pseudocyst
    Dermatoses including lichen planus, Darier disease, and nail psoriasis.

    Median canaliform nail dystrophy often grows out spontaneously over months or years. Recurrencecan occur.

  2. Retronychia most often affects the great toenails. It is caused by repetitive microtrauma to the nail, most often by wearing tight shoes or doing activities that lead to toenail trauma.

  3. dermnetnz.org › topics › onychogryphosisOnychogryphosis | DermNet

    Onychogryphosis, also known as ram’s horn nail, is a nail disorder resulting from slow nail plate growth. It is characterised by an opaque, yellow-brown thickening of the nail plate with elongation and increased curvature [1,2].

  4. Sep 1, 2023 · Repeated microtrauma to the toe nail is a frequent cause of nail disorders, and when assessing them it is important to take a full view of the whole foot and lower limb. All too often, practitioners treat the foot and nail as static anatomical structures when common problems arise as a result of their dynamic functions.

  5. Microtrauma. Damage to the nail bed due to an injury can result in thick nails. Toenails that have been damaged can regrow thicker than before. Microtrauma typically affects one or two toes. However, if it occurs frequently, it may cause more damage or affect all toes. The most common cause of microtrauma to the toenails is ill-fitting shoes. 3.

  6. Feb 28, 2024 · A fingernail or toenail can be injured by a blow to the nail or by closing the finger or toe in a door or drawer. This kind of trauma commonly results in blood under the nail, a condition called subungual hematoma. Nails also can be accidentally torn or split, or a splinter can get under the nail.

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