{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:54Z","timestamp":1787755194096,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Case:<\/jats:title>\n Onychophagia, or nail-biting, is a common habit seen in both children and adults. Harmful effects include oral exposure to a variety of pathogens and concomitant damage to dentition and fingers. This report focuses on the most severe reported case of recurrent osteomyelitis of the bilateral hands with destructive changes secondary to onychophagia.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Successful treatment relies on a multidisciplinary approach which in this case included surgical management and counseling on cessation, with referrals to other providers to address underlying psychiatric and\/or psychologic conditions that may predispose to this compulsion.<\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00346","type":"journal-article","created":{"date-parts":[[2021,10,7]],"date-time":"2021-10-07T03:31:14Z","timestamp":1633577474000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Recurrent Osteomyelitis Requiring Surgical Management Secondary to Nail-Biting"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2957-1416","authenticated-orcid":false,"given":"Marcus","family":"Hoof","sequence":"first","affiliation":[{"name":"San Antonio Military Medical Center, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8507-6001","authenticated-orcid":false,"given":"Daniel J.","family":"Cognetti","sequence":"additional","affiliation":[{"name":"San Antonio Military Medical Center, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William D.","family":"Mcclain","sequence":"additional","affiliation":[{"name":"San Antonio Military Medical Center, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Plucknette","sequence":"additional","affiliation":[{"name":"San Antonio Military Medical Center, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,10]]},"reference":[{"issue":"12","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1177\/000992289002901201","article-title":"Nail biting","volume":"29","author":"Leung","year":"1990","journal-title":"Clin Pediatr (Phila)."},{"issue":"2","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/j.ajodo.2006.06.023","article-title":"Nail biting, or onychophagia: a special habit","volume":"134","author":"Tanaka","year":"2008","journal-title":"Am J Orthod Dentofacial Orthop."},{"issue":"2","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1097\/NMD.0b013e318243989b","article-title":"A case of autophagia: a man who was mutilating his fingers by biting them","volume":"200","author":"Michopoulos","year":"2012","journal-title":"J Nerv Ment Dis."},{"issue":"4","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"379","DOI":"10.5664\/jcsm.2594","article-title":"Severe onychophagia and finger mutilation associated with obstructive sleep apnea","volume":"9","author":"Nino","year":"2013","journal-title":"J Clin Sleep Med."},{"issue":"9","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"618","DOI":"10.4088\/JCP.v60n0912","article-title":"The nosology of compulsive skin picking","volume":"60","author":"Stein","year":"1999","journal-title":"J Clin Psychiatry."},{"issue":"2","key":"bib6-20240805","first-page":"73","article-title":"Nail biting; etiology, consequences and management","volume":"36","author":"Ghanizadeh","year":"2011","journal-title":"Iran J Med Sci."},{"issue":"4","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1007\/s11325-008-0183-9","article-title":"ADHD, bruxism and psychiatric disorders: does bruxism increase the chance of a comorbid psychiatric disorder in children with ADHD and their parents?","volume":"12","author":"Ghanizadeh","year":"2008","journal-title":"Sleep Breath."},{"issue":"1","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1023\/B:JOBA.0000007456.24198.e4","article-title":"Body-focused repetitive behaviors: the proximal and distal effects of affective variables on behavioral expression","volume":"26","author":"Teng","year":"2004","journal-title":"J Psychopathol Behav Assess."},{"issue":"6","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1177\/0145445508319484","article-title":"Functional analysis and treatment of nail biting","volume":"32","author":"Dufrene","year":"2008","journal-title":"Behav Modif."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00346","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:38:52Z","timestamp":1787751532000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00346"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":9,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.21.00346","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}