Nail changes in casted and braced clubfoot: A preliminary study.
BACKGROUND
The study aimed at finding whether there are any nail changes specific to treatment in clubfoot.


METHODS
Sixty new, 26 undergoing serial corrective casting, and 247 clubfoot patients using foot abduction braces were prospectively studied. The casted and braced group formed the basis of the study to observe nail changes, if any. The new patients and opposite normal foot (in unilateral casted cases) were taken as controls.


METHODS
Acute paronychia, ingrown toe nail, onychoshizia, onychorrhexis, nail plate concavity, latent onychomadesis, and distal onycholysis were observed in feet undergoing corrective casting and bracing. Micronychia, malalignment and thinning of nail plate were the observed congenital nail anomalies.


CONCLUSIONS
Nail changes in clubfeet are not infrequent. Certain nail changes might be etiologically linked to casting and bracing. Some of nail changes might require urgent medical care.
Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi 110031, India. Electronic address: rachna_anila@yahoo.co.in.
Anil
A
Agarwal
Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi 110031, India. Electronic address: dranubrat5@gmail.com.
Anubrat
A
Kumar
Department of Pediatric Dermatology, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi 110031, India. Electronic address: medico.doc@gmail.com.
Deepshikha
D
Khanna
Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi 110031, India. Electronic address: abbasshehreyar@gmail.com.
Abbas
A
Shaharyar
Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi 110031, India. Electronic address: drshafi3704@gmail.com.
Mohd Shafi
MS
Bhat
Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi 110031, India. Electronic address: msm.cnbc@gmail.com.
Madhusudan
M
Mishra
D001915:Braces / Q000009:adverse effects*; D016022:Case-Control Studies; D002370:Casts, Surgical / Q000009:adverse effects*; D003025:Clubfoot / Q000175:diagnosis / Q000628:therapy*; D000072700:Conservative Treatment / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D061826:Foot Orthoses / Q000009:adverse effects; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D009260:Nail Diseases / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D009262:Nails; D011446:Prospective Studies; D018570:Risk Assessment
CTEV; Nail changes; cast; clubfoot