L G Plusjé1. 1. Department of Dermatology, Leiden University Medical Center, Leiden, The Netherlands. l.plusje@wxs.nl
Abstract
BACKGROUND: Pincer nails are a kind of nail deformity characterized by a transverse overcurvature of the nail that increases along the longitudinal axis. Alteration of the shape of the underlying distal phalanx due to osteophyte formation at the apex may be a cause of pincer nails. This causes widening of the proximal matrix and as a result secondary torque in the distal nail plate leading to the typical appearance. Apart from conservative treatment, several surgical techniques have been proposed in the past. METHODS: This article presents a new surgical approach in the treatment of recalcitrant pincer nails which has several distinct advantages over other methods. RESULTS: Long-term results in six patients are presented.
BACKGROUND: Pincer nails are a kind of nail deformity characterized by a transverse overcurvature of the nail that increases along the longitudinal axis. Alteration of the shape of the underlying distal phalanx due to osteophyte formation at the apex may be a cause of pincer nails. This causes widening of the proximal matrix and as a result secondary torque in the distal nail plate leading to the typical appearance. Apart from conservative treatment, several surgical techniques have been proposed in the past. METHODS: This article presents a new surgical approach in the treatment of recalcitrant pincer nails which has several distinct advantages over other methods. RESULTS: Long-term results in six patients are presented.