Nail (anatomy)
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In anatomy, a nail is a horn-like structure at the end of a human's or an animal's finger or toe. See also claw.
Parts of the nail
Anatomically fingernails and toenails, which are made of a tough protein called keratin and are produced from living skin cells in the fingers and toes, are made up of 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.
- 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 usually refers to the nail plate only.
Nails grow at an average rate of 3 millimetres a month Fingernails require 3 to 6 months to regrow completely. Toenails require 12 to 18 months. Actual growth rate is dependent upon age, 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.
This growth record can show the history of recent health and physiological imbalances, and has been used as a diagnostic tool since ancient times. Major illness will cause a deep 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 degenerative (onychodystrophy); for further information see nail diseases.
Health and care
Nails can dry out, just like skin. They can also 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.
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.
Biting
Biting the nails often indicates internal tension, stress, boredom, hunger, or it may simply be a habit.
Nail biting can result in the transportation of germs that are buried under the surface of the nail into the mouth. It may also cause excessive or abnormal wear of tooth enamel.
Culture
In western culture, long nails are a symbol of femininity. Nail decoration is usually limited to females.
In some Asian cultures men may also grow long fingernails, or only the nail on the little finger, to show that they do not do much manual labor, but instead work in an office setting.
In the 19th century in the Balkans, white-collar workers, such as clerks, grew their fingernails long to distinguish them from people in lower classes who worked with their hands.[1]
Some guitar players, notably classical and fingerstyle players, will purposely grow long nails on the hand they use to pluck the strings. Their longer nails serve as small, easily-maneuverable guitar picks. For some serious musicians, daily nail care can become a mark of pride and dedication.
In comparison, pianists must keep their nails trimmed short to avoid clicking noises on the keys and avoid dangerous situations where in fast passages the nail may be caught under a key and rip off, and most string players, such as violinists and guitarists, must keep at least the nails on their fretting hand short to allow the strings to be fingered correctly.
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 (paramedics) often use the fingernail beds as a cursory indicator of distal tissue perfusion of individuals who may be in shock. However, this test is now accepted as reliable in young children only.
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.
See also
References
- Haneke E (2006). "Surgical anatomy of the nail apparatus.". Dermatol Clin 24 (3): 291-6. PMID 16798426.
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Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
