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1.
Int J Clin Pract ; 75(10): e14474, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34107146

RESUMO

BACKGROUND: Onychocryptosis, frequently termed ''ingrown toenail'' is a common foot problem in routine dermatology and orthopaedic clinical practice which leads to pain and disability. Although the aetiology of ingrown toenail is not well understood various associated risk factors have been identified with the pathogenesis. MATERIAL AND METHODS: This study was a retrospective investigation of 170 patients with hallux valgus and lateral border ingrown toenail of all stages. The patients were compared with a control group. The radiologic assessment in both groups included right hallux valgus angle, left hallux valgus angle, right first and second intermetatarsal angle, and left first and second intermetatarsal angle. RESULTS: There were 121 female and 49 male patients in the case group and 68 female and 32 male in the control group. The mean age of the case group was 41.1 years and 41.1 years in the control group. A statistically significant difference was found between the case and the control groups in terms of the right hallux valgus angle variable. CONCLUSION: The abnormal hallux valgus angle and the abnormal intermetatarsal angle plays an important role in ingrown toenail aetiology. The X-rays of the feet should be performed to determine the susceptibility of the patients who are admitted to the hospital for ingrown toenail in order to prevent other toes ingrown toenail and for planning the treatment of the patients with an ingrown toenail.


Assuntos
Hallux Valgus , Unhas Encravadas , Adulto , Feminino , Hallux Valgus/diagnóstico por imagem , Humanos , Masculino , Unhas , Unhas Encravadas/complicações , Radiografia , Estudos Retrospectivos
3.
J Am Podiatr Med Assoc ; 101(3): 247-51, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21622636

RESUMO

BACKGROUND: Nail bracing is a conservative method used for ingrown nails; however, lack of objective measurements limits its use for various nails. METHODS: Double-string nail braces with extra metal springs were applied to 12 patients with 21 chronic, thick, and overcurved ingrown nails. Force was measured with a force gauge meter. Treatment was stopped once patients stood on their tiptoes and walked in shoes pain free without braces. A force gauge meter was also used on a model nail to show the forces applied by various nail braces and to compare their pulling forces. RESULTS: After 6 to 10 months of treatment, all of the patients were pain free; 600 to 1,000 centi Newtons of force were applied to the nails. As the width of the nail increased, so did the force. CONCLUSIONS: Braces exert more force on larger nails, which may shorten treatment durations. By measuring forces, it may be possible to standardize force and duration of treatment according to variables such as nail thickness, nail width, angle of ingrown nail, and duration of symptoms.


Assuntos
Unhas Encravadas/terapia , Podiatria/instrumentação , Contenções , Fenômenos Biomecânicos , Feminino , Humanos , Masculino , Dor/etiologia , Dor/prevenção & controle
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