Lateral Supporting Ligament of the Distal Phalanx
- 1 June 1989
- journal article
- case report
- Published by SAGE Publications in Foot & Ankle
- Vol. 9 (6), 310-311
- https://doi.org/10.1177/107110078900900610
Abstract
A 49-year-old woman complained of 3 months of constant aching pain deep to the ingrown medial nail margin of her right hallux that was unaffected by shoe wear. Physical examination disclosed no purulence, discoloration, or obvious acute inflammation; an incurved medial nail plate was seen. There was mild chronic thickening of the medial nail fold. Tenderness was maximal 2 to 3 mm plantar to the medial edge of the nail. By roentgenogram ( Fig. 1 ), bony projections were seen arcing from the distal phalangeal tuft and the proximal metaphyseal flare toward each other. This was considered to be a “normal” radiological variant. A partial medial onychectomy and matricectomy (Winograd procedure) was performed. Further dissection 1 to 2 mm deeper along the medial phalangeal border revealed a 1-mm wide longitudinal ligament extending from the phalangeal distal tuft to the proximal metaphyseal flare. Bony projections and ligament were excised. The wound healed satisfactorily, and symptoms ceased.Keywords
This publication has 1 reference indexed in Scilit:
- A MODIFICATION IN THE TECHNIC OF OPERATION FOR INGROWN TOE-NAILJournal of the American Medical Association, 1929