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Nail Bed Laceration and Repair in the Emergency Department

  1. Nail bed repair with Dermabond (and likely all tissue adhesive glues) may be a reasonable alternative to sutures for both nail bed laceration repair itself, as well as to hold the nail in place. Post updated May 26, 2014 (22:47 PST) 1. Strauss E, Weil W, Jordan C, Paksima N
  2. If the entire nail is detached from the finger or toe, there is nothing that can be done to repair, reattach, or replace it. If there is any damage to adjacent tissues, the nail bed, nail matrix, or the proximal nail fold that could result in scarring, this should be assessed by a physician and repaired if appropriate
  3. If the collected blood covers more than half of the nail bed, the doctor may remove the nail and repair the nail bed and matrix — the area at the base that produces new nails. If the nail is..
  4. Diagnosis is made by careful inspection of the nail bed integrity. Treatment depends on severity and degree of nail bed injury but generally requires removal of the nail and nail bed repair
  5. There are also nail bed injuries that affect more than your nail bed, such as a fingertip fracture or amputation. Nail bed repair Repairing a nail bed injury will differ depending on the type of.

Nail bed injuries and deformities of nai

Toenail fungus is a common fungal condition that often starts after a rash on the foot spreads to the nails. When mild, it looks like white and yellow spots growing under the nail beds. But if left untreated, the fungus can grow severely by hardening the nails and spreading to other toes Protect any exposed part of the nail bed for 7 to 10 days until this skinhardens and isn't sensitive anymore. Coat the area with antibiotic ointment and top with a nonstick bandage. Change the..

Approach to Nail Trauma — NUEM Blo

  1. Replacing an avulsed native nail plate (after a nailbed laceration repair) is the preferred method of protecting the nailbed and the eponychial fold. The original fingernail is considered to be the ideal biological dressing
  2. Try over-the-counter antifungal nail creams and ointments. Several products are available. If you notice white markings on the surfaces of the nails, file them off, soak your nails in water, dry them, and apply the medicated cream or lotion. Trim and thin the nails
  3. Nails are slow to grow and take time to repair themselves. The portion of nail that has separated from the skin surface beneath it will not reattach. Onycholysis only goes away after new nail has replaced the affected area. It takes four to six months for a fingernail to fully regrow, and twice as long for toenails
  4. ator, Repairs and Protects Toenail and Fingernail from Discoloration, Brittle and Crack, 2 Count. 2 Count. 3.9 out of 5 stars 422. $9.99 $ 9. 99. Get it as soon as Wed, Jul 14. FREE Shipping on orders over $25 shipped by Amazon

Many times, a doctor may choose to excise a portion of the toenail to examine the nail bed, nail folds, or matrix more minutely, apply other treatments, or determine whether a biopsy is necessary in cases of potential cancers or fungal infections. In addition, toenails can be removed in cases of toenail warts or tumors Clean the affected area with soap and water daily. Groom your nails regularly. Soften your nails first by applying urea cream (Aluvea, Keralac) and wrapping your feet in bandages at night. Then.. Every day, gently remove the bandage and wash your toe with warm, soapy water. Reapply your antibiotic ointment and put on a fresh bandage. If your bandage gets wet or dirty, put on a fresh one. You should do this for 7-10 days until the nail bed, the soft sensitive area underneath the nail, hardens

HOW TO FIX A THICK DAMAGED TOENAIL IN 5 MINUTES!!! - YouTub

Nail Repair Gel Pen - Toenail Fungus Treatment - Toe and Finger Nail Strengthener, Fixes and Repairs Damaged Brittle Nails - Antifungal Nail Treatment (2 Pens) 4.2 out of 5 stars 67 1 offer from $7.8 If a torn toenail results in a damaged nail bed, you should keep it bandaged for seven to ten days until the bed hardens up. You can speed things along by keeping the nail from being reinfected and taking biotin supplements and eating lots of protein and calcium-rich foods. How Do You Heal a Cracked Toenail The main aim of treating a damaged nail bed is to restore the injured nail to its previous condition. If there is a pool of blood under the nail, it is drained through a small hole in the nail. This helps relieve pressure and reduce pain. If there's severe injury, surgery may be required About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators. Toenail repair- Acrylics vs. Keryflex Important factors for you to consider before heading to the nail salon! If you have a bruised or damaged toenail, are experiencing yellow brittle nails, or have nails that just don't grow normally, chances are you have been searching for a cosmetic option to fix them

Subungual Hematoma Drainage: Overview, Indications

Having a dead toenail can cause a lot of pain and can make you reluctant to wear sandals or show your toes. A dead toenail can have various causes, among them injury (such as being jammed repetitively into the front of your running shoes) and toenail fungus. Even if your toenail is dead and has completely stopped growing, you can remove the toenail and treat the underlying infection As noted, failure to repair the root of the nail can cause a wide scar to form and lead to a permanently split nail. Replacing the nail is the easiest way to protect the healing nail bed, pack the nail fold, and provide a natural splint for the healing injury. The actual nail bed repair should be accomplished with absorbable sutures, usually 6.

Trick of Trade: Nail bed repair with tissue adhesive glu

Onycholysis or nail lifting describes the separation of the nail from the nail bed, beginning at its distal or lateral connection. The detachment develops slowly and is not painful. Onycholysis show up especially on the ring finger however may appear on one of the fingernails. The nail itself can look in good health, usually sustaining its. Nailbed Injuries, Part I. A nailbed laceration caused by a skill saw. The proximal nail fold is avulsed, and the nail is lacerated in several places. One of my colleagues recently saw a pretty bad fingernail injury. A young man got his hand caught in a skill saw while on a construction job Part of the nail bed was adhered to the nail. The physician avulsed the nail further in order to get to the 3 cm laceration underneath where she sutured. She then trimmed the nail then placed it back into the nail bed over the sutures. She specifically states that the distal portion of the nail was further avulsed for treatment and repair

Torn or Detached Nail: Nail Bed Trauma Treatment & Healing

Major Nail Bed Injuries may require a visit to the Emergency Department or a Specialists Office for a surgical consult once the injury has been stabilized. Nail avulsion injuries will likely require removal of the nail and repair of the nail bed. Finger bones may need fracture fixation or fusion depending on the fracture type 1. Remove the shine and prep the remaining nail for acrylic application. 2. Apply scotch tape to the tip of the toe over the exposed flesh and wrap the tape around the toe so ends of the tape meet underneath. This is to help pull some of the flesh away from the free edge and sidewall area. 3

Nail Bed Laceration. Compression of the nail bed between the distal phalanx and nail can result in a simple or complex laceration.A nail bed laceration is usually present with an intact nail and a subungual haematoma greater than 50% of the nail surface area. Sharp objects like knives can penetrate the nail if they land with sufficient force resulting in a nailbed laceration Toenail Removal - Before, During, and After Surgery. Surgical toenail removal (also known as avulsion of the nail plate) is a common method of treatment for a variety of conditions, including ram's horn nails ( onychogryphosis) and an ingrown toenail. Toenail removal may be partial or complete, and in some cases a doctor may recommend. The nail grows out from an area below the skin known as the matrix and is intimately connected to the blood vessel and nerve-rich nail bed beneath it. Your toenails are subject to a great deal of stress, whether it's rubbing against shoes, a stubbed toe, or the constant presence of bacteria and fungi (picture the environment inside a shoe) Toenail Avulsion Procedure Note. The area surrounding the skin lesion was prepared and draped in the usual sterile manner. The patient is placed in the supine position, with the knees flexed (foot flat on the table) or extended (foot hanging off the end of the table). The toe was prepped with povidone-iodine solution

Nail bed injury: Pictures, types, and treatment

toenail split horizontally - pictures, photos

Immediate primary repair is the ideal management when these injuries involve the nail bed and surrounding skin fold structures. 3,5 Careful repair is necessary to avoid functional impairment and cosmetic derangement of the nail plate. 6 The following discussion will refer primarily to the fingernail. The toenail has less importance, both. Honestly speaking, toenail injury can lead to a damaged nail bed. But generally, a damaged nail bed is as a result of blunt trauma to the toenail. Just like blunt trauma to other parts of your body, you'll be left with ugly marks which differentiate it from other conditions. It is easy to spot the difference between a damaged nail bed and. On MDsave, the cost of a Nail Bed Repair ranges from $834 to $1,016. Those on high deductible health plans or without insurance can save when they buy their procedure upfront through MDsave. Read more about how MDsave works. Find Nail Bed Repair providers near you. Search board-certified providers, compare prices, buy online, and save money.. Answer. You have onycholysis on the nail, which is defined as separation of the nail plate from the nail bed.. This is a common problem which is often caused by an injury to the nail. It usually repairs itself, although it may take six months or more in severe cases Management. Remove overlying nail, if present. Repair lacerations using 5-0 or 6-0 absorbable sutures. Replace nail into nail fold. Trephination of the nail may be performed to allow drainage of blood. Nail may be sutured into place. Alternatively, a nail-shaped adaptic or non-adherent gauze may be placed under the nail fold

Use a buffing board to gently remove the upper layer of yellow skin cells. Then mix a tablespoon of baking soda with a teaspoon of hydrogen peroxide and let it fizz for a few seconds. Dip a toothbrush in the mixture and gently scrub each nail until the yellow tint is gone The nail bed often gets damaged as a result of accidents, such as the fingertip or the toe getting caught in the door. Other than this, any type of crushing, pinching or sharp cut to the fingertip can cause nail bed damage. If there is some crushing injury to the fingertip, then it causes a very painful pooling of blood under the nail However, it seems to me that the second picture in your post is not a picture of a double toenail - it's simply a broken toenail. There's no need to undergo a surgery to fix it. Simply buy something like Vitry Nail Repair Care and apply it to the entire toenail every two days until the nail grows and the ridge disappears Toenail Fungus Home Care. Sometimes it's possible to treat your toenail fungus at home. You can try: Over the counter antifungal creams or ointments. File or cut off any white markings on your.

Nail Bed Injury - Hand - Orthobullet

Losing a toenail or fingernail because of an injury is called avulsion. The nail may be completely or partially torn off after a trauma to the area. Your doctor may have removed the nail, put part of it back into place, or repaired the nail bed. Your toe or finger may be sore after treatment. You may have stitches The suture should be removed from the tip at 2-3 weeks. The nail frequently adheres to the nail bed for 1-3 months until pushed off by the new nail. Replacement of the nail creates a much less tender fingertip while a new nail is growing. However, not placing the nail plate back into the nail fold is also an option

Nail Bed Injury Types, Causes, and Treatment

Lifted Toenail Injury Removal. Dr. Leo Krawetz of Healthy Feet Podiatry in Tampa and Brooksville removes a toenail that was lifted off the toenail bed. I'm Dr. Leo Krawetz at Healthy Feet Podiatry. Today, in my office, I have a patient that injured his toenail. He kicked a tire in his garage To treat a severe split toenail, clean the area with an antiseptic solution or an antibacterial cream, and then bandage it to decrease the risk of infection. If the nail completely detaches from its bed, then the only thing you can do is to clean the area and protect it with a bandage until a new one grows back Toenail cracks resulting from sports injury e.g. while running or playing tennis and activities such as dancing can be prevented by keeping the nails properly trimmed at all times. Other tips to help prevent and repair cracks in toenails: Dry feet properly after showers. Wear flip-flops when using public showers Nail bed inflammation is an infection of the nail bed. The skin under and around the nail is called the nail bed. In general, nail bed inflammation can affect toe and fingernails. Medically, a nail bed inflammation is also called onychitis. If the nail fold (or nail wall) in particular is inflamed, this is called paronychia Author Information. New York University Medical Center-HJD, Department of Orthopaedic Surgery, New York, NY, U.S.A. Address correspondence and reprint requests to Michael E. Rettig, M.D., 317 East 34th Street, 3rd Floor, New York, NY 10016, U.S.A. Techniques in Hand and Upper Extremity Surgery: June 2002 - Volume 6 - Issue 2 - p 50-55. Buy

Background and Objectives: Nail bed and germinal matrix loss due to wide excision for fingertip tumors or malignancy are occasionally encountered complications. These defects also result from severely comminuted fingertip crush injuries. Large-area dorsal finger or toenail bed defects, which usually present with phalangeal bone exposure, remain challenging regardless of the usage of different. Onycholysis can affect a single nail or multiple fingernails and/or toenails. The distal part of the nail is most commonly affected lifting the free edge; sometimes the nail may detach laterally or proximally. Oil spot sign is an island of onycholysis under a nail. Clinical features can include the following signs For partial avulsion, gently lift nail but do not remove to inspect nail bed for laceration. For complete avulsion: Repair any nailbed laceration. Replace nail into nailfold after cleaning nail and suture into place. If no nail, place a non-adherent, petroleum containing gauze into nail fold. Can Also use aluminum wrapping of suture package as. Nailbed injuries are common, with fingertip injuries being the most often seen type of hand injuries. The fingertip is frequently injured because it is the point of interaction between the body and one's surroundings in the majority of activities performed on a daily basis, and it is the most distal portion of the upper extremities Losing a toenail or fingernail because of an injury is called avulsion. The nail may be completely or partially torn off after a trauma to the area. Your doctor may have removed the nail, put part of it back into place, or repaired the nail bed. Your toe or finger may be sore after treatment. You may have stitches. You..

Nail bed or matrix damage may result in permanent nail deformity. If the injury is acute, nail trephination (eg, creating a hole in the nail plate using a cautery device, 18-gauge needle, or red-hot paperclip) can help relieve pain by draining accumulated blood; after 24 hours, blood is coagulated, thus trephination offers no benefit Repair. Remove nail in normal fashion, attempting to keep intact for later Splinting. Suture nail bed with Absorbable Suture (e.g. Chromic 6-0) Use as little Suture as possible (more Suture, more scarring, less chance of nail adherance to the nail bed) Suture from proximal to distal due to the nail bed friability Glue Nail Repair Method. This is the simplest method and it only involves using glue. Remove your nail polish - If the affected nail has nail polish, it would be best to remove it first with a nail polish remover. Make sure to gently remove it from the nails. Use a piece of cotton with some acetone Nail Bed Repair. The nail bed repair involves the removal of foreign materials from the affected area, preservation of tissues as much as possible, taking care of the wound to prevent nail bed infections and splitting. It is important to have a nail bed repair after the injury. It has the following benefits The nail may pry away from the nail bed when it is hit or jammed. Severe or repetitive toe stubbing may cause a toenail to detach. This is also common in athletes who wear shoes that aren't roomy enough. Fungal nail infection, which occurs when fungi invade a fingernail or toenail and the skin underneath the nail (nail bed). Toenails are more.

The 7 Best Toenail Fungus Treatments of 202

Blue or black discoloration on the nail-bed. Bruised Toenail Healing Time. The healing time for a bruised nail depends on the gravity of the bruise and the right treatments you do. A badly bruised toenail might even fall off. In such a case, it will require more than 6 months for the new nails to grow in place of the lost one A fingernail or toenail can be injured by a blow to the nail or by closing the finger or toe in a door or drawer. This kind of trauma commonly results in blood under the nail, a condition called subungual hematoma. Nails also can be accidentally torn or split, or a splinter can get under the nail. Repeated trauma to toenails, caused by ill.

Toenail Falling Off: What To Do About A Ripped or Broken

Injuries involving the toe nail bed and adjacent tissues are very common. Acute injuries to these structures are frequently caused by dropping a heavy object on the toe or by stubbing the toe into a solid object. Less common mechanisms of acute injury include nail bed lacerations and puncture wounds. Chronic nail trauma is usually caused by repetitive mechanical pressure associated with. Wrapping the affected toe with a Band-Aid will prevent infection and also keep the nail from growing out at painful angles. If your podiatrist feels it is necessary, he or she may make a small incision and remove part of your toe nail. Medication will be placed in the nail bed to prevent re-growth of the problem nail parts

NailBed Injuries, Part II - Closing the Ga

What to do when your big toe nail comes off? If you are having an accident which causes the big toe nail to come off instantly, you might want to be cautious about some things to prevent more severe infection. A separated nail from the nail bed will not reattach. Instead, a new nail will grow back within a quite long time Nail avulsion is when part or all of a nail is torn away or removed from the nail bed. Avulsion may happen on your finger or toe. Common causes include ingrown nail, injury, or infection. The nail bed will form a hard layer and then a new nail may grow. The nail bed will be sensitive until the hard layer forms If you have an ingrown toenail, the side border of your toenail — usually your big toe —starts to dig in and irritate the skin, explains Christopher R. Hood Jr., D.P.M., of Premier Orthopedics. Go to a nail salon and have an acrylic nail put on the big toe, it will paint much better! It should stay on at least a month but I would have it maintained at salon every 3 weeks just to check water doesn't get caught underneath and cause problems because your real nail isn't growing out so smoothly. Thanks everyone The kit is inclusive of nail glue, buffer, and repair powder, as well as an instruction manual to provide detailed steps on how to execute repair. Using this nail repair kit is pretty much a straightforward task. First, brush glue on your toenail, but not on the cuticle

Nail bed lacerations require careful repair and measures to preserve the nail folds and germinal matrix. Complete fingertip avulsions require debridement, cleansing, and local wound care. The repair of nail bed lacerations and fingertip avulsions are reviewed here. The management of subungual hematoma is discussed separately The CPT Code 11762 is the code used for Surgery / integumentary system. The general guidance for this code is that it is used for repair of finger or toe nail bed with graft. Below you will find cost information associated with this procedure based upon the a set of publicly available data which details all doctors who billed Medicare for this. How To Repair A Damaged Toenail, Toenails & Fingernails. A new solution for blackened, yellow or brittle nails with Fungus Symptoms. Yellow / Brittle toenails are treated with a patented transdermal delivery system. Clear + Restore is clinically proven to improve nails affected by trauma and with Clear + Restore there is no need to hide your. Nail Replacement Having attractive feet and healthy-looking toenails are important for self-confidence. At Foot and Ankle Wellness Clinic in Los Angeles and Glendale, California, Dr. Mancherian offers toenail replacement treatments including the innovate Keryflex system, designed to restore the look of damaged or diseased nails with a flexible resin material that looks like a natural toenail If you have the problem repeatedly on the same toe, your doctor may suggest removing a portion of the nail along with the underlying tissue (nail bed). This procedure may prevent that part of your nail from growing back. Your doctor will use a chemical, a laser or other methods

Nail fungus - Diagnosis and treatment - Mayo Clini

avulsion). We then apply a chemical to the nail bed to stop the nail growing back. Why do people have nail surgery? The most common reason for having nail surgery is an ingrowing toenail. Anyone who has experienced this condition will know just how painful it is and also how frequently it causes painful infections. Remova Toenail reconstruction is the restoration of a previously damaged nail by a podiatrist for cosmetic purposes. The process of toenail reconstruction involves the application of layers of a special gel to the damaged nail/portion of the nail bed, onto which UV light is focused in order to harden the gel. The gel used in toenail reconstruction is. The CPT Code 11760 is the code used for Surgery / integumentary system. The general guidance for this code is that it is used for repair of finger or toe nail bed. Below you will find cost information associated with this procedure based upon the a set of publicly available data which details all doctors who billed Medicare for this code Repair of finger or toe nail bed. Service Code: 11760, Service Type: Medical. Total Paid. $2,084.27. Total Times Performed (or Units) 2,728. Rank Among All Services. 2,660. Includes both office and facility visits. Services by State. Below are the states in which this service was billed. Click a state for top providers there Proximal subungual onychomycosis-Caused due to nail fold, where fungal infection penetrates the newly formed nail plate.White superficial onychomycosis (WSO)-Tends to create a chalky white appearance or white island on nails.Distal subungual onychomycosis-It invades the nail bed and underside of the nail plate.Candidal onychomycosis- Causes due to frequent immersion in water where a.

Regularly change the bandage and clean the nail bed until it heals. Gently rinsing the nail bed with water and applying infection-preventing cream will help it heal quickly and properly. Keep the nail bed protected with gloves and a bandage until the nail fully regrows. Be aware that the area may continue to be sensitive for quite some time If the split is near the underlying nail bed, it is best to mend it. CND Essentials Solar Oil Care Pen. cnd-vinylux ulta.com. $12.99 SHOP NOW. Make cuticle care a daily habit A new fingernail can grow back in just eight weeks. A new toenail might not completely grow back for about six months. If there has been an injury to the nail bed and/or surrounding tissues, the new nail might take longer to grow. Even with the best repair, there is still a possibility that the new nail might grow back and not look normal During repair, a complete nail avulsion is performed to fully expose the nail matrix. After avulsion, the wound is carefully debrided. Then, the wound edges are accurately reapposed. To avoid future nail deformity, the nail root and the nail bed are carefully aligned and replaced on the finger by using 6-0 absorbable sutures Toenail removal involves injecting the affected part of the toe with a local anesthesia in order to kill pain. The surgeon or podiatrist then proceeds to carry out a surgical operation known as 'Onychectomy', in order to excise or cut out the portion of the nail growing along the edge of the toe (ablation). The procedure is quite simple and.

Onycholysis Guide: Causes, Symptoms and Treatment Option

  1. Treatments for Brittle Nails. Your doctor can help you understand what's causing your brittle toenails to develop and can then develop a course of treatment appropriate to your situation. But in general and for overall nail health, drinking plenty of water can help to hydrate your toenails, Dr. Pinker says. Advertisement
  2. Hi there, I've had the yellow big toe toenail in the past - from not allowing the nail to have enough access to air due to constant nail polish. If I gave my nails a chance to breathe, it would go away. Last year, I experienced the white covering on my big toe nail after removing a coat of nail polish
  3. Before you can treat a discolored toenail, you have to know the cause. Common causes of nail discoloration include: Fungal infection of the nails. Dirt, poor hygiene, and living in a humid area are all causes of a fungal infection in your toenails. Fungal toenail infections can cause discoloration, making your nail appear any of these colors.
  4. A nail bed injury can be caused by a variety of things, including: Broken bones. Cuts to the nailbed or fingertip. Cuts to the tendons that straighten or bend the fingertip. Cuts to the nerve endings. These injuries are typically a result of incidents such as catching the fingertip in a door. Any type of pinching, crushing or sharp cut to the.
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Apply Vitamin E oil gently on your toe nail to get rid of toenail fungus. Onion is also an effective way to prevent torn toe nail due to fungus. Just rub some slices over the nail for 2-3 times a day. Yogurt consists of probiotic food that helps in treating the problem of toenail fungus and foot fungus fast While a toenail falling off is usually not a major medical concern, it can be painful and annoying. In some cases, a damaged or detaching toenail may become infected, or it may be a sign of a more. Nail bed injuries: For a larger bruise, your provider will create a small hole in the nail. This will allow fluid to drain out and relieve the pressure and pain. If the bone is broken or the bruise is very large, the nail may need to be removed and the nail bed repaired. Nail lacerations or avulsions: Part or all of the nail may be removed B. Miller Biting hangnails can lead to a cuticle infection. A cuticle infection, or paronychia, is an infection of the skin surrounding the nail bed, and can be caused by injury or damage to the nail bed.It is often characterized by red, swollen, warm skin surrounding the nail, which may include pus as well

Yellow nail syndrome can also be one of the cause for thick toenails. 2 Yellow nail syndrome is a rare condition that causes thickening and discoloration of the toenails and fingernails. According to the reports from National Organization of Rare Disorders (NORD), yellow nail syndrome causes the nails to become thickened, yellow and excessively curved The toenail may get crumbly and separate from the nail bed. Your doctor may prescribe psoriasis medication , corticosteroid pills or injections, or retinoid creams you'll apply to the nail in. Fungal Infections. Toenail fungus, or onychomycosis, is an infection underneath the surface of the nail caused by fungi. Symptoms include a progressive change in a toenail's quality and color, which is often ugly and embarrassing. You should visit a podiatrist when you notice any discoloration, thickening, or deformity of your toenails The second toenail can be observed on either one or both feet, where there is a separation of the toenail positioned on the tiniest toe. The apart part of the nail forms a smaller sized 6th toenail on the corner of the larger, or main area of the toenail, on the outer side of the foot, which extends outwards from the corner of the bigger nail

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  2. Split, chipped or ripped fingernails from an untimely snag on a sharp surface don't have to destroy your nail's appearance until they grow out or annoy you with further snagging. There's no need to trim those long, lovely nails short, either -- some rips occur too far below the quick to cut without hurting.
  3. It will take some time, possibly 6months - 1year, but it can grow back healthily, without the split. Its a good idea to purchase a good cuticle oil such as Solar oil & massage this into the cuticle to stimulate cell regeneration & circulation which will aid the healing of the nail
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