Lesions of the toes are extremely common. They are caused by a variety of conditions ranging from simple ingrowing toenails to severe pain caused by ischaemia. Deformities of the toes are also exceptionally common, particularly in the elderly. Toenails Figure 60 Ingrowing toenails of both great toes. Ulcers Ischaemic Neuropathic
Toe Lesions
Causes
Both medial and lateral aspects are affected in the right great toe but only the lateral aspect of the left great toe. The patient had suffered repeated infections. There is overgrowth of granulation tissue and a purulent discharge. Bilateral Zadik’s operation (avulsion of the toenail and ablation of the germinal matrix) cured the condition.
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Lesions
