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Recurrent Osteomyelitis Requiring Surgical Management Secondary to Nail-Biting: A Case Report
Marcus Hoof1, Daniel J Cognetti, William D Mcclain
1San Antonio Military Medical Center, San Antonio, Texas.
JBJS Case Connector
|October 6, 2021
Summary
Nail-biting (onychophagia) can lead to severe hand infections like osteomyelitis. This case highlights the destructive potential of this common habit and the need for comprehensive treatment.
Area of Science:
- Medicine
- Dermatology
- Infectious Diseases
Background:
- Onychophagia, or nail-biting, is a common habit with potential health risks.
- These risks include pathogen exposure and damage to teeth and digits.
Observation:
- This report details an extreme case of recurrent osteomyelitis in both hands.
- The osteomyelitis presented with destructive changes directly linked to onychophagia.
Findings:
- The severe case involved bilateral hand osteomyelitis resulting from chronic nail-biting.
- This highlights a rare but serious complication of onychophagia.
Implications:
- Treatment requires a multidisciplinary approach, combining surgical intervention with behavioral counseling.
- Addressing underlying psychological factors is crucial for successful cessation and preventing recurrence.
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