Beyond straight nail cutting : a critical review of nail management and its relationship with biomechanical factors

Abstract

La recomendación del “corte recto” ungueal ha sido ampliamente difundida como estrategia preventiva de la onicocriptosis. Sin embargo, su fundamento se basa principalmente en consenso clínico y tradición, sin evidencia experimental robusta que valide su aplicación universal (5,9). Dado el carácter multifactorial de esta patología, que involucra factores anatómicos, biomecánicos y conductuales (1), resulta necesario revisar críticamente este paradigma.

The recommendation to trim nails “straight across” has been widely promoted as a preventive strategy for ingrown toenails. However, this recommendation is based primarily on clinical consensus and tradition, without robust experimental evidence to validate its universal application (5,9). Given the multifactorial nature of this condition, which involves anatomical, biomechanical, and behavioral factors (1), it is necessary to critically review this paradigm.