Nail Root Dislocation


Presentation

The patient has caught a finger in a car door or dropped a heavy object on an exposed toe, causing a painful deformity. The base of the nail will be found resting above (on top of) the eponychium instead of in its normal anatomic position beneath. The cuticular line that had joined the eponychium at the nail fold will remain attached to the nail at its original position ( Figs. 145.1 and 145.2 ).

Fig. 145.1, Dislocated nail root.

Fig. 145.2, The subtle appearance of a dislocated nail root can be inadvertently overlooked by the clinician.

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