title: Median nail dystrophy
text: # Median nail dystrophy
  
  Median nail dystrophy (also known as "Dystrophia unguis mediana canaliformis," "Median canaliform dystrophy of $Heller,"^{:657}$ and "Solenonychia") consists of longitudinal splitting or canal formation in the midline of the nail, a split which often resembles a fir tree, occurring at the cuticle and proceeding outward as the nail $grows.^{:788}$
  
  Thumbs, which are the most commonly involved, usually show an enlarged lunula resulting probably from repeated pressure applied on the base of the $nail.^{:657}$
  
  