In racquet nails (also known as brachyonychia,[1] nail en raquette,[2] and racquet thumb[1]), the nail plate is flattened, the end of the thumb is widened and flattened, and the distal phalanx is abnormally short.[2]:786 In racquet nails, the width of the nail bed and nail plate is greater than their length.[3]:657 The condition is painless and asymptomatic.

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Racquet nail
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Brachyonychia in Brachydactyly type D
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Racquet nails usually occur on one or both thumbs, but may appear on all fingers and toes. It may be genetic, inherited as an autosomal-dominant trait,[2]:786 or acquired. Genetic disorders associated with racquet nail include Larsen syndrome, Brooke–Spiegler syndrome, Rubinstein–Taybi syndrome, Hajdu–Cheney syndrome, cartilage–hair hypoplasia, pycnodysostosis, acrodysostosis, and brachydactyly type D.[4]

Acquired racquet nail is associated with acroosteolysis and psoriatic arthropathy.[4] Acquired racquet nail may also be diagnostic of bone resorption in hyperparathyroidism.[5]

Racquet nail often presents with other nail conditions such as onycholysis, koilonychia, pachyonychia, Muehrcke's lines, leuconychia, and half-and-half nails.[5] Cosmetic surgery can be used to improve the appearance of the nails.[4]

See also

References

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