title: Dermatologic Manifestations of the Lower Extremity: Nail Surgery.
abstract: Nail surgery is a fundamental component of podiatric surgery. Nail disorders are common and may cause significant morbidity and occasionally mortality. Diagnosis of inflammatory and infectious conditions, and of benign or malignant tumors, often requires a biopsy of the nail unit. Excisional surgery may also be curative for certain tumors. This article reviews key elements of nail anatomy, surgical preparation, local anesthesia, and methods to achieve and maintain a bloodless field. A familiarity with these concepts should allow clinicians to develop a surgical plan and approach when patients present with a nail disorder requiring biopsy or surgical treatment.
authors.affiliation: Dermatology Professionals, Inc, 1672 South County Trail, Suite 101, East Greenwich, RI 02818, USA; Department of Dermatology, Warren Alpert Medical School, Brown University, Providence, RI, USA; Division of Dermatology, University of Massachusetts Medical School, Worcester, MA, USA. Electronic address: winenut15@yahoo.com.
authors.forename: Nathaniel J
authors.initials: NJ
authors.lastname: Jellinek
authors.affiliation: Westmoreland Dermatology Associates, Monroeville, PA, USA.
authors.forename: Nicole F
authors.initials: NF
authors.lastname: Vélez
mesh_terms: D005533:Foot Dermatoses / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D009260:Nail Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*
keywords: Complications; Digital anesthesia; Nail biopsy; Nail surgery