Fossilized nail plate after remote trauma

Case report

Amir Dehdashtian, Bardia Amirlak

Research output: Contribution to journalArticle

Abstract

Summary: The authors describe a case of retained sterile matrix in a 38-year-old Hispanic man with a history of remote trauma and soft-tissue coverage with a groin flap 13 years before presentation. The patient presented with a slowly enlarging, vertically growing dorsal thumb mass with occasional drainage. The patient had minimal functional impairment, and radiographic imaging showed a radiolucent mass projecting dorsally over the distal phalanx. Surgical exploration revealed an approximately 2×2cm keratinized mass attached to a retained nail bed. The keratinized nail plate was removed, along with an ellipse of soft tissue around the draining tract. To the authors’ knowledge, this case is the largest reported vertically growing, retained, and cornified nail bed with an unusual size and shape. Physicians should consider the possibility of retained nail plates in patients who present with unusual large growths after trauma or surgery.

Original languageEnglish (US)
Article numbere620
JournalPlastic and Reconstructive Surgery - Global Open
Volume4
Issue number2
DOIs
StatePublished - Jan 1 2016

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Nails
Wounds and Injuries
Groin
Thumb
Hispanic Americans
Drainage
Physicians
Growth

ASJC Scopus subject areas

  • Surgery

Cite this

Fossilized nail plate after remote trauma : Case report. / Dehdashtian, Amir; Amirlak, Bardia.

In: Plastic and Reconstructive Surgery - Global Open, Vol. 4, No. 2, e620, 01.01.2016.

Research output: Contribution to journalArticle

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