Novel Surgical Approach for Fingertip Deformity: Reconstruction of a Small Finger Hook Nail in a Child Using a Hypothenar Flap and Distal Phalanx Osteotomy
Hook nail deformity generally occurs after traumatic amputation of the distalmost extent of the finger. The nail bed then extends over the tip and occasionally onto the volar aspect of the digit. An absence of distal support leads to volar hooking of the nail, a cosmetic deformity that can be painfu...
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Elsevier
2025-01-01
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Series: | Journal of Hand Surgery Global Online |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2589514124001841 |
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author | Caleb Bercu, BA Antoun Bouz, MD Sarah Stavros, MD Weston Thomas, PA-C Aaron Berger, MD, PhD |
author_facet | Caleb Bercu, BA Antoun Bouz, MD Sarah Stavros, MD Weston Thomas, PA-C Aaron Berger, MD, PhD |
author_sort | Caleb Bercu, BA |
collection | DOAJ |
description | Hook nail deformity generally occurs after traumatic amputation of the distalmost extent of the finger. The nail bed then extends over the tip and occasionally onto the volar aspect of the digit. An absence of distal support leads to volar hooking of the nail, a cosmetic deformity that can be painful and interfere with function. Treatment of this deformity is typically conservative, as there is little consensus on ideal treatment, and most techniques described in the literature are complex. We present a novel technique for the treatment of hook nail (and other fingertip) deformity in the small finger using a hypothenar flap combined with distal phalanx osteotomy. |
format | Article |
id | doaj-art-ffd5a0c521c84d2c88b3d4397e61cf42 |
institution | Kabale University |
issn | 2589-5141 |
language | English |
publishDate | 2025-01-01 |
publisher | Elsevier |
record_format | Article |
series | Journal of Hand Surgery Global Online |
spelling | doaj-art-ffd5a0c521c84d2c88b3d4397e61cf422025-01-26T05:04:37ZengElsevierJournal of Hand Surgery Global Online2589-51412025-01-01719297Novel Surgical Approach for Fingertip Deformity: Reconstruction of a Small Finger Hook Nail in a Child Using a Hypothenar Flap and Distal Phalanx OsteotomyCaleb Bercu, BA0Antoun Bouz, MD1Sarah Stavros, MD2Weston Thomas, PA-C3Aaron Berger, MD, PhD4Division of Plastic Surgery, Department of Surgery, Nicklaus Children’s Hospital, Miami, FLDivision of Plastic Surgery, Department of Surgery, Nicklaus Children’s Hospital, Miami, FL; Herbert Wertheim College of Medicine, Florida International University, Miami, FLDivision of Plastic Surgery, Department of Surgery, Nicklaus Children’s Hospital, Miami, FL; Herbert Wertheim College of Medicine, Florida International University, Miami, FLDivision of Plastic Surgery, Department of Surgery, Nicklaus Children’s Hospital, Miami, FLDivision of Plastic Surgery, Department of Surgery, Nicklaus Children’s Hospital, Miami, FL; Corresponding author: Aaron Berger, MD, PhD, Division of Plastic Surgery, Nicklaus Children's Hospital, 3100 SW 62 Avenue ACB #2230, Miami, FL, 33155.Hook nail deformity generally occurs after traumatic amputation of the distalmost extent of the finger. The nail bed then extends over the tip and occasionally onto the volar aspect of the digit. An absence of distal support leads to volar hooking of the nail, a cosmetic deformity that can be painful and interfere with function. Treatment of this deformity is typically conservative, as there is little consensus on ideal treatment, and most techniques described in the literature are complex. We present a novel technique for the treatment of hook nail (and other fingertip) deformity in the small finger using a hypothenar flap combined with distal phalanx osteotomy.http://www.sciencedirect.com/science/article/pii/S2589514124001841Fingertip reconstructionHook nail deformityHypothenar flapPediatric hand |
spellingShingle | Caleb Bercu, BA Antoun Bouz, MD Sarah Stavros, MD Weston Thomas, PA-C Aaron Berger, MD, PhD Novel Surgical Approach for Fingertip Deformity: Reconstruction of a Small Finger Hook Nail in a Child Using a Hypothenar Flap and Distal Phalanx Osteotomy Journal of Hand Surgery Global Online Fingertip reconstruction Hook nail deformity Hypothenar flap Pediatric hand |
title | Novel Surgical Approach for Fingertip Deformity: Reconstruction of a Small Finger Hook Nail in a Child Using a Hypothenar Flap and Distal Phalanx Osteotomy |
title_full | Novel Surgical Approach for Fingertip Deformity: Reconstruction of a Small Finger Hook Nail in a Child Using a Hypothenar Flap and Distal Phalanx Osteotomy |
title_fullStr | Novel Surgical Approach for Fingertip Deformity: Reconstruction of a Small Finger Hook Nail in a Child Using a Hypothenar Flap and Distal Phalanx Osteotomy |
title_full_unstemmed | Novel Surgical Approach for Fingertip Deformity: Reconstruction of a Small Finger Hook Nail in a Child Using a Hypothenar Flap and Distal Phalanx Osteotomy |
title_short | Novel Surgical Approach for Fingertip Deformity: Reconstruction of a Small Finger Hook Nail in a Child Using a Hypothenar Flap and Distal Phalanx Osteotomy |
title_sort | novel surgical approach for fingertip deformity reconstruction of a small finger hook nail in a child using a hypothenar flap and distal phalanx osteotomy |
topic | Fingertip reconstruction Hook nail deformity Hypothenar flap Pediatric hand |
url | http://www.sciencedirect.com/science/article/pii/S2589514124001841 |
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