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In anatomy, a nail is a horn-like structure at the end of an animal's finger or toe. See also claw.
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Parts of the nail
Anatomically fingernails and toenails are made of a tough protein called keratin and have many different parts:
- The free edge is the part of the nail that extends past the finger, beyond the nail plate. There are no nerve endings in the nail - this is the growing part of the nail still under the skin at the nail's proximal end. The average thickness of this portion of the nail is .017 inches.
- eponychium or cuticle, is the fold of skin at the proximal end of the nail.
- paronychium is the fold of skin on the sides of the nail.
- hyponychium is the attachment between the skin of the finger or toe and the distal end of the nail.
- nail plate is the hard and translucent portion, composed of keratin.
- nail bed is the adherent connective tissue that underlies the nail, often colloquially referred to as the "quick."
- lunula is the crescent shaped whitish area of the nail bed (when visible)
- nail fold a fold of hard skin overlapping the base and sides of a fingernail or toenail.
In common usage the word nail often refers to the nail plate only.
Nails grow at an average rate of 3 millimetres a month. [1] Fingernails require 3 to 6 months to regrow completely, and toenails require 12 to 18 months. Although it is widely believed that toenails do not grow back, this is not true. Actual growth rate is dependent upon age, gender, season, exercise level, and hereditary factors. Contrary to popular belief, nails do not continue to grow after death; the skin dehydrates and tightens, making the nails (and hair) appear to grow.[2]
This growth record can show the history of recent health and physiological imbalances, and has been used as a diagnostic tool since ancient times.[3] Major illness will cause a deep transverse groove to form across the nails. Discoloration, thinning, thickening, brittleness, splitting, grooves, Mees' lines, small white spots, receded lunula, clubbing (convex), flatness, spooning (concave) can indicate illness in other areas of the body, nutrient deficiencies, drug reaction or poisoning, or merely local injury. Nails can also become thickened (onychogryphosis), loosened (onycholysis), infected with fungus (onychomycosis) or degenerate (onychodystrophy); for further information see nail diseases.
Health and care
Nails can dry out, just like skin. They can also peel, break and be infected. Toe infections, for instance, can be caused or exacerbated by dirty socks, specific types of aggressive exercise, tight footwear and walking unprotected in an unclean environment.citation needed
Manicures and pedicures are health and cosmetic procedures to groom, trim, and paint the nails and manage callouses. They require various tools such as cuticle scissors, nail scissors, nail clippers, and nail files.
Nail tools used by different people may transmit infections. Regarding nail tools such as files, "If they're used on different people, these tools may spread nail fungi, staph bacteria or viruses", warns Rick Lopes, a spokesperson for the California Board of Barbering and Cosmetology. In fact, over 100 bacterial skin infections in 2000 were traced to footbaths in nail salons. To avoid this, new improved contactless tools can be used, for example, gel and cream cuticle removers instead of cuticle scissors.
Fashion
Someone whose occupation is to cut any type of nail, apply artificial nails and care for nails is sometimes called a nail technician. The place where a nail technician works may be called a nail salon or nail shop (also "nailshop").
Painting the nails with nail polish (also known as nail lacquer) is a common practice dating back to at least 3000 B.C.
Ornamented fake nails are sometimes used to display designs, such as stars or sparkles, on nails. They are also used to make nails look longer.
Medical test
Health care and pre-hospital care providers (EMTs or paramedics) often use the fingernail beds as a cursory indicator of distal tissue perfusion of individuals who may be dehydrated or in shock.[4] However, this test is not considered reliable in adults.[5] This is known as the CRT or blanch test.
Procedure: briefly depress the fingernail bed gently with a finger. This will briefly turn the nailbed white; the normal pink colour should be restored within a second or two. Delayed return to pink colour can be an indicator of certain shock states such as hypovolemia [6][7]
References
- ^ Toenail Definition - Medicine.net
- ^ Nail growth usd.edu
- ^ American Academy of Dermatology - Nail Health
- ^ Monterey County EMS Manual. Chapter XI, Patient assessment.
- ^ NIH Website. Limitations of capillary refill test.
- ^ NIH Website. Capillary nail refill test.
- ^ St. Luke's Hospital. Capillary nail refill test.
- Barker D (2007). "Nail biology and nail science". Int J Cosmet Sci 29 (4): 241–75. doi:.
- Haneke E (2006). "Surgical anatomy of the nail apparatus". Dermatol Clin 24 (3): 291–6. doi:. PMID 16798426.
See also
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