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Traumatic onychodystrophy - Nail and Distal Digit
Other Resources UpToDate PubMed

Traumatic onychodystrophy - Nail and Distal Digit

Contributors: Vivian Wong MD, PhD, Susan Burgin MD
Other Resources UpToDate PubMed

Synopsis

Traumatic onychodystrophy is a common condition where nail deformity occurs due to acute or repeated trauma. It is characterized by changes in nail morphology associated with a history of injuries directed to the nail matrix, plate, bed, and proximal nail fold. It may occur on the fingernails or toenails.

Chronic trauma due to an anatomic abnormality, ill-fitting footwear, occupation, cosmetic procedures, or self-manipulation are common risk factors. Testing for onychomycosis, the main differential diagnosis, is negative.

Codes

ICD10CM:
L60.3 – Nail dystrophy
L60.8 – Other nail disorders

SNOMEDCT:
275320004 – Injury of nail
87065009 – Dystrophia unguium

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

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Best Tests

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Management Pearls

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Therapy

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References

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Last Reviewed:08/10/2025
Last Updated:08/10/2025
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Traumatic onychodystrophy - Nail and Distal Digit
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