Document Detail

Is there a relationship between forefoot alignment and ingrown toenail? A case-control study.
MedLine Citation:
PMID:  20921151     Owner:  NLM     Status:  In-Data-Review    
Biomechanical imbalance between the hallux and the second toe and external compression of the lateral nail fold are proposed as the main reasons for ingrown toenail. Therefore, any anatomical predisposition facilitating this compression may play a role in the occurrence of ingrown toenail. The purpose of this study is to investigate the relationship between forefoot alignment and ingrown toenail. The authors retrospectively reviewed radiographs of 81 patients with ingrown toenails and compared them with 100 healthy subjects regarding forefoot alignment. Hallux valgus angle (HVA), intermetatarsal angle (IMA), and interphalangeal angle (IPA) were measured, and feet were classified according to digital formula as Egyptian, Greek, and square. The mean HVA was 14.5° ± 5.0° in the case group and 13.2° ± 5.9° in the control group. The mean IMA was 9.1° ± 2.5° in the case group and 8.6° ± 3.1° in the control group. The mean IPA was 11.9° ± 4.1° in the case group and 12.0° ± 5.1° in the control group. There was no statistically significant difference between the groups regarding HVA, IMA, or IPA (P = .123, P = .198, and P = .925, respectively). The distribution of foot types between groups was also similar (P = .967). This study has failed to demonstrate any abnormality in forefoot alignment in patients with symptomatic ingrowing toenails, and it is suggested that treatment should not be based on the correction of the anatomy if no abnormality exists. Levels of Evidence: Prognostic, Level IV.
Ozkan Kose; Mustafa Celiktas; Bulent Kisin; Selahattin Ozyurek; Seyhmus Yigit
Publication Detail:
Type:  Journal Article     Date:  2010-10-04
Journal Detail:
Title:  Foot & ankle specialist     Volume:  4     ISSN:  1938-7636     ISO Abbreviation:  Foot Ankle Spec     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-03-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101473598     Medline TA:  Foot Ankle Spec     Country:  United States    
Other Details:
Languages:  eng     Pagination:  14-7     Citation Subset:  IM    
Diyarbakır State Hospital, Orthopaedics and Traumatology Clinic, Diyarbakir, Turkey.
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