title: Nail hypertrophy after elective surgery on the little finger: a case report.
abstract: The authors present a case that developed acute painful nail hypertrophy of the ipsilateral four fingers which resembled finger clubbing after undergoing elective hand surgery on the little finger. The patient was diagnosed as having complex regional pain syndrome (CRPS), and the nail hypertrophy subsided gradually on pain control, and completely normalized one year after onset. Recognizing this phenomenon may help initiate early treatment for CRPS and avoid unnecessary antibiotic or antifungal medications for postoperative infection.
authors.affiliation: Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Seoul National University Bundang Hospital, Seongnam, Korea. hsgong@snu.ac.kr
authors.forename: Hyun Sik
authors.initials: HS
authors.lastname: Gong
authors.forename: Sae Hyung
authors.initials: SH
authors.lastname: Chun
authors.forename: Goo Hyun
authors.initials: GH
authors.lastname: Baek
mesh_terms: D002648:Child; D017558:Elective Surgical Procedures / Q000009:adverse effects*; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D006984:Hypertrophy / Q000209:etiology / Q000601:surgery; D009260:Nail Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D009262:Nails / Q000601:surgery; D019637:Orthopedic Procedures / Q000009:adverse effects* / Q000379:methods; D012086:Reoperation / Q000379:methods