Present authors (2021)/2 patients |
M |
28 |
Zone 2 flexor tendon laceration (first finger of the right hand) |
Circumferential plaster cast (extending to 2nd–5th fingers) |
2 weeks |
Nail fold edema, oncyhomadesis/3rd–4th
|
None |
Normal/Normal |
Systemic steroids, topical emolients |
Complete healing |
|
M |
15 |
Fracture of the 4th and 5th metacarpals (right hand) |
Plaster cast in intrinsic plus position (entending to 4th–5th fingers) |
3 weeks |
Nail fold edema, oncyhomadesis/3rd–4th
|
Local pain (during the immobilization) |
Normal/Normal |
Topical steroids |
Complete healing |
Baykal22 Baykal C, Kılıç S, Sezer S. Periungual pyogenic granuloma-like lesions following plaster cast immobilization: a case managed with symptomatic therapy. J Dtsch Dermatol. 2018;16:74–5. (2018)/1 patient |
M |
25 |
Fracture of the middle phalanx of the left 3rd finger |
Circumferencial plaster cast of forearm + wrist (extending to 2nd–5th fingers) |
3 weeks |
PG, nail fold edema, oncy-homadesis/ 2nd–4th
|
None |
Normal/Normal |
Systemic steroid and antibiotics, topical antibiotics |
Complete healing |
Thakur33 Thakur BK, Verma S, Mishra J. Pyogenic granuloma with onychomadesis following plaster cast immobilization. Indian J Dermatol Venereol Leprol. 2016;82:239. (2016)/1 patient |
M |
14 |
Left distal radio-ulnar joint dislocation |
Plaster cast from above the elbow up to the metacarpal bones |
6 weeks |
PG, oncy-homadesis/ 1st–2nd
|
Local increased sweating |
Normal/Normal |
Curettage |
NA |
Whitelaw44 Pampín A, Sanz-Robles H, Feltes RA, López-Estebaranz JL. Onychomadesis and pyogenic granulomas after postoperative upper-limb immobilization. Actas Dermosifiliogr. 2014;105:528–9. (2014)/1 patient |
F |
10 |
Fracture of the proximal phalanx of left 1st finger |
Plaster cast extending to the hand and wrist (fingers mobile) |
NA |
Nail fold edema and oncyhomadesis/1st–3rd
|
None |
NA |
None |
Complete healing |
Pampin55 Whitelaw ST, Bourke G, Whitelaw DC. Focal nail dystrophy in a cutaneous nerve distribution after trauma. J Am Acad Dermatol. 2014;70:e46–7. (2014)/1 patient |
M |
35 |
Distal detachment of the biceps brachii tendon |
Plaster cast from halfway up the arm to metacarpal joint |
2 weeks |
PG and oncyhomadesis/2nd–4th and 2nd–5th, respectively |
None |
Normal/Normal |
None |
Complete healing |
Piraccini66 Piraccini BM, Bellavista S, Misciali C, Tosti A, de Berker D, Richert B. Periungual and subungual pyogenic granuloma. Br J Dermatol. 2010;163:941–53. (2010)/3 patients |
M |
43/42/45 |
Wrist or other bone fracture of the limb |
Plaster cast (non-detailed) |
3 months |
PG/ NA |
Severe pain, hyperhidrosis in one patient |
Normal/Normal |
Surgical removal in 1, silver nitrate treatment in 2 patients |
Complete healing in two patients |
Pucevich77 Pucevich B, Spencer L, English JC. Unilateral trachyonychia in a patient with reflex sympathetic dystrophy. J Am Acad Dermatol. 2008;58:320–2. (2008)/1 patient |
F |
48 |
Fracture in the right 3rd finger |
Plaster cast of forearm + wrist (non-detailed) |
NA |
Trachyonychia/All fingers of a single hand |
Pain, motor loss and dysesthesia of the arm |
NA |
Moisturizer, alpha-acetoxyacid, oral biotin |
NA |
Tosti88 Tosti A, Piraccini BM, Camacho-Martinez F. Onychomadesis and pyogenic granuloma following cast immobilization. Arch Dermatol. 2001;137:231–2. (2001)/9 patients |
M |
15–42 |
Fracture of a phalanx in 3, a metacarpal bone in 2, and the wrist in 4 patients |
Cast of forearm + wrist (non-detailed) |
7–30 days |
PG in all, oncyhomadesis in 3 patients/Not detailed |
Moderate paresthesia and pain (during the immobilization) |
Normal/Normal |
NA |
Complete healing |
Tosti99 Tosti A, Baran R, Peluso AM, Fanti PA, Liguori R. Reflex sympathetic dystrophy with prominent involvement of the nail apparatus. J Am Acad Dermatol. 1993;29:865–8. (1993)/1 patient |
M |
17 |
Ulnar-carpal joint fracture and ulnar collateral ligament damage |
Plaster cast of forearm + wrist (non-detailed) |
A few days |
Nail fold edema/3rd–4th
|
Tingling, burning pain, hyperhidrosis and coldness |
Normal/Normal |
Antibiotic creams and systemic antiinflammatoires |
NA |