eMedicine Specialties > Emergency Medicine > Trauma & Orthopedics
Toenails, Ingrown: Differential Diagnoses & Workup
Updated: Jul 24, 2008
- Overview
- Differential Diagnoses & Workup
- Treatment & Medication
- Follow-up
- Multimedia
Differential Diagnoses
Workup
Laboratory Studies
- Lab studies have no use for ingrown toenails and should be directed at underlying disorders.
Imaging Studies
- Radiography should be considered when it is necessary to rule out osteomyelitis (rare) or in the setting of trauma to rule out toe fractures (common).
Procedures
See Treatment.
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References
Barker LR, Burton JR, Zieve PD. Principles of Ambulatory Medicine. 3rd ed. Williams & Wilkins; 1991.
Bossers AM, Jansen IM, Eggink WF. Rational therapy for ingrown toenails. A prospective study. Acta Orthop Belg. 1992;58(3):325-9. [Medline].
Fulton GJ, O'Donohoe MK, Reynolds JV, Keane FB, Tanner WA. Wedge resection alone or combined with segmental phenolization for the treatment of ingrowing toenail. Br J Surg. Jul 1994;81(7):1074-5. [Medline].
Giacalone VF. Phenol matricectomy in patients with diabetes. J Foot Ankle Surg. Jul-Aug 1997;36(4):264-7; discussion 328. [Medline].
Ingrown toenails. Last updated May 2007. Familydoctor.org. Available at http://familydoctor.org/online/famdocen/home/common/skin/disorders/208.html.
Kimata Y, Uetake M, Tsukada S, Harii K. Follow-up study of patients treated for ingrown nails with the nail matrix phenolization method. Plast Reconstr Surg. Apr 1995;95(4):719-24. [Medline].
Mori H, Umeda T, Nishioka K, et al. Ingrown nails: a comparison of the nail matrix phenolization method with the elevation of the nail bed-periosteal flap procedure. J Dermatol. Jan 1998;25(1):1-4. [Medline].
Ozdemir E, Bostanci S, Ekmekci P, Gurgey E. Chemical matricectomy with 10% sodium hydroxide for the treatment of ingrowing toenails. Dermatol Surg. Jan 2004;30(1):26-31. [Medline].
Sauer GC. Manual of Skin Diseases. JB Lippincott; 1985.
Wollina U. Modified Emmet's operation for ingrown nails using the Er:YAG laser. J Cosmet Laser Ther. May 2004;6(1):38-40. [Medline].
Zaborszky Z, Fekete L, Tauzin F, Orgovan G. Treatment of ingrowing toenail with segmental chemical ablation. Acta Chir Hung. 1997;36(1-4):398-400. [Medline].
Further Reading
Keywords
ingrown toenail, sore toe, sore toenail, painful toe, swollen toe, unguis incarnatus, mycoses, chemical cautery, tender toe, diabetes, arterial insufficiency, lymphangitis
Differential Diagnoses & Workup: Toenails, Ingrown