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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Main Authors: Caleb Bercu, BA, Antoun Bouz, MD, Sarah Stavros, MD, Weston Thomas, PA-C, Aaron Berger, MD, PhD
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Journal of Hand Surgery Global Online
Subjects:
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.
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publishDate 2025-01-01
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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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