Recurrent Osteomyelitis Requiring Surgical Management Secondary to Nail-Biting: A Case Report. Issue 4 (October 2021)

• Record Type: Journal Article
• Authors: Hoof, Marcus; Cognetti, Daniel J.; Mcclain, William D.; Plucknette, Benjamin
• Is Part Of: JBJS case connector. Volume 11:Issue 4(2021)
• Publication Date: 2021-10
• Subjects: middle age -- male -- infection -- osteomyelitis -- onychophagia -- nail biting -- diabetes mellitus; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.21.00346
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: Onychophagia, or nail-biting, is a common habit seen in both children and adults. Harmful effects include oral exposure to a variety of pathogens and concomitant damage to dentition and fingers. This report focuses on the most severe reported case of recurrent osteomyelitis of the bilateral hands with destructive changes secondary to onychophagia. Conclusion: Successful treatment relies on a multidisciplinary approach which in this case included surgical management and counseling on cessation, with referrals to other providers to address underlying psychiatric and/or psychologic conditions that may predispose to this compulsion.