Patient Education: Medical Resource Links

	Pediatric Orthopedics: Orthoseek.com: Pediatric Orthopedics & Sports Medicine Topics Juvenile Rheumatoid Arthritis Coping with Juvenile Rheumatoid Arthritis Elbow Fractures in Children Forearm Fractures in Children Growth Plate Fractures Osgood Schlatter Disease (Knee Pain) Legg-Calve-Perthes Disease Scoliosis in Children & Adolescents Muscular Dystrophy 10 Common Questions About Playground Safety Arthritis in Children, Teens and Young Adults Idiopathic Scoliosis Ponseti Method for Clubfoot
	Arthroscopy: Arthroscopy
	Sports Medicine: Muscle Cramp Shin Splints Sprains & Strains Stress Fractures Heat Injury Burners & Stingers Sprains & Strains ACL Recon Meniscal Tear
	The Arm & Elbow: Osteoarthritis of the Elbow Elbow Bursitis Elbow Fractures in Children Biceps Tendinitis Ulnar Nerve Entrapment Tennis Elbow Colles Fracture Rupture of the Biceps Tendon
	The Hand & Wrist: Common Hand Problems Fracture of the Finger What is Carpal Tunnel Syndrome? Carpal Tunnel Syndrome Hand Surgery Hand Fractures Arthritis of the Hand Arthritis of the Thumb Ganglions (cysts) of the Wrist Thumb Fractures Dupuytren’s Contracture Sprained Thumb Wrist Arthroscopy Wrist Joint Replacement (Arthroplasty) deQuervain's Tendinitis     Nerve Injuries   Reflex Sympathetic Dystrophy     Replantation
	The Hip: Osteoarthritis of the Hip Osteonecrosis of the Hip Activities after a Hip Replacement Snapping Hip Bursitis of the Hip Deep Vein Thrombosis    Hip Implants
	The Knee: Osteochondritis Dissecans of the Knee The Knee Knee Ligament Injuries ACL Reconstruction Preventing ACL Injuries in Women Meniscal Tear Arthritis of the Knee Knee Implants Runner’s Knee (Patellofemoral Pain) Osteotomy and Unicompartmental Knee Arthroplasty Nonsurgical Treatment Options for Osteoarthritis of the Knee Surgical Treatment for Osteoarthritis of the Knee Total Knee Replacement Part 1: How the Knee Works, Causes of Knee Pain Total Knee Replacement Part 2: Evaluation and Expectations Total Knee Replacement Part 3: Surgery and Recovery
	The Shoulder: Arthritis of the Shoulder Dislocated Shoulder Rotator Cuff Tears Shoulder Impingement Shoulder Joint Replacement Frozen Shoulder Shoulder Pain
	The Spine: Kyphosis Kyphoplasty Scoliosis Herniated Disk Low Back Pain Spinal Stenosis Sciatica How to Prevent Back Pain Osteoporosis Back Pain Exercise Cervical Fracture Cervical Radiculopathy Neck Pain Herniated Disk Spondylolysis and Spondylolisthesis Spinal Surgery for Fractured Vertebrae
	Total Joint Replacement: Total Knee Replacement Total Hip Replacement What Can You Tell Me About Bone and Tissue Transplantation? Your Joint Replacement, Urological Procedures & Antibiotics
	Trauma: Fractures Fracture of the Pelvis Kienböck's Disease Traumatic Exposure Post-traumatic Stress Disorder After Orthopaedic Trauma
	Foot & Ankle: The Foot & Ankle Achilles Tendon Bunions Corns Diabetic Foot Hammer Toe Heel Pain Ingrown Toenail Morton’s Neuroma Plantar Warts Broken Ankle Orthotic Devices Sprained Ankle Plantar Fasciitus Fracture of the Talus Fractures of the Heel Stiff Big Toe (Hallux Rigidus) Stress Fractures of the Foot & Ankle
	General Orthopedics: Dental Work after a Joint Replacement Electrodiagnostic Testing Orthopaedic Fast Facts Diagnostic Imaging Techniques Electrodiagnostic Testing Fractures How to Use Crutches, Canes and Walkers What Are NSAIDs?

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Injuries to the toes and fingers are common, and we treat a lot of these conditions in our office. Sports, home accidents, power tools, work benches, car doors, and heavy furniture all can cause injuries to the nail. Shoes can be protective for the toes, but often times we do not wear boots or shoes for convenience sake.

Nails grow along the nail bed. New nails are manufactured from the germinal layer. If the germinal layer is damaged, the nail will not grow. If the nail bed itself is torn or lacerated, the nail will not grow beyond the laceration. It is therefore very important to recognize when a laceration to the nail bed has occurred. A high index of suspicion is required.

A cut through the nail itself suggests a laceration. Fractures to the distal tufts of the fingers or toe are often times associated with a nail bed laceration. The more displaced the fracture, the more likely the nail bed has been damaged. The presence of blood underneath the nail is also strongly suggestive of nail bed laceration.

Dr. Paul Lesko, M.D.