RT Book, Section
A1 Reichman, Eric F.
SR Print(0)
ID 57719207
T1 Chapter 184. Ingrown Toenail Management
T2 Emergency Medicine Procedures, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-161352-1
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=57719207
RD 2024/04/19
AB An  ingrown  toenail  (onychocryptosis)  is  a  common  affliction  that  can  occur  in  any  toe.  It  most  commonly  afflicts  the  great  toe,  occurring  when  the  lateral  edge  of  the  nail  plate  penetrates  the  soft  tissue  of  the  lateral  nail  fold.  There  are  three  stages  of  ingrown  toenails.  Stage  I  includes  erythema,  slight  edema,  and  pain  when  pressure  is  applied  to  the  lateral  nail  fold.  Stage  II  includes  the  stage  I  findings  plus  signs  of  infection  and  a  purulent  drainage.  Stage  III  is  a  magnification  of  the  two  previous  stages  with  the  addition  of  granulation  tissue  formation  and  lateral  nail  fold  hypertrophy.  Most  ingrown  toenails  can  be  definitively  managed  in  the  Emergency  Department  by  the  Emergency  Physician.