Case presentation
A 54-year-old taxi driver was referred to our orthopaedic department
with onychodystrophy on a nail of the second right finger from a year
before the current presentation. No history of recent trauma, pain, or
bleeding has been noted. On physical examination, onycholysis and
onychodystrophy of the right second nail were revealed. The lesion had
tenderness when it was compressed bilaterally.
Complete surgical excision of the nail was performed with local
anaesthesia (Figure 1). On surgery of the nail plate, a lesion measuring
10 × 10 mm appeared within the nail bed.
The histopathological examination revealed a subungual onycholemmal cyst
(Figure 2).