Surgical treatment of nail bed subungual exostosis

A subungual exostosis (SE) is a bony overgrowth that is permanently attached to the tip of the distal phalanx. Its pathology differs from osteocartilaginous exostoses in that it mainly involves the overgrowth of normal bone, which may present beneath the toenail or on the sides of the toe. This retr...

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Veröffentlicht in:Singapore medical journal 2016-11, Vol.57 (11), p.630-633
Hauptverfasser: Malkoc, Melih, Korkmaz, Ozgur, Keskinbora, Mert, Seker, Ali, Oltulu, Ismail, Bulbul, Ahmet Murat, Say, Ferhat, Cakir, Aslı
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container_end_page 633
container_issue 11
container_start_page 630
container_title Singapore medical journal
container_volume 57
creator Malkoc, Melih
Korkmaz, Ozgur
Keskinbora, Mert
Seker, Ali
Oltulu, Ismail
Bulbul, Ahmet Murat
Say, Ferhat
Cakir, Aslı
description A subungual exostosis (SE) is a bony overgrowth that is permanently attached to the tip of the distal phalanx. Its pathology differs from osteocartilaginous exostoses in that it mainly involves the overgrowth of normal bone, which may present beneath the toenail or on the sides of the toe. This retrospective study aimed to report the results of surgical treatment when the diagnosis of SE was delayed; the condition was initially considered to be another pathology affecting a different nail or the terminal toe. A total of 17 patients (12 female, five male) were included in the study. All surgical resections were performed by the same surgeon using the same surgical technique, with the patient under digital anaesthesia. The patients were evaluated pre- and postoperatively (on Weeks 1 and 6, the first year, and the last follow-up visit) using the American Orthopaedic Foot and Ankle Society questionnaire and the Visual Analogue Scale score. The patients underwent surgery for SE removal between December 2009 and October 2012. Their mean age was 21.3 ± 4.4 (range 14-29) years and the mean follow-up period was 27.1 ± 7.8 (range 18-45) months. Clinical or radiological recurrence was not observed in any of the patients during the follow-up period. Four patients had superficial infections, which were treated using appropriate antibiotic therapies. As SE is an uncommon benign lesion, its diagnosis may be delayed. Radiography may be useful in obtaining a differential diagnosis.
doi_str_mv 10.11622/smedj.2015180
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Its pathology differs from osteocartilaginous exostoses in that it mainly involves the overgrowth of normal bone, which may present beneath the toenail or on the sides of the toe. This retrospective study aimed to report the results of surgical treatment when the diagnosis of SE was delayed; the condition was initially considered to be another pathology affecting a different nail or the terminal toe. A total of 17 patients (12 female, five male) were included in the study. All surgical resections were performed by the same surgeon using the same surgical technique, with the patient under digital anaesthesia. The patients were evaluated pre- and postoperatively (on Weeks 1 and 6, the first year, and the last follow-up visit) using the American Orthopaedic Foot and Ankle Society questionnaire and the Visual Analogue Scale score. The patients underwent surgery for SE removal between December 2009 and October 2012. Their mean age was 21.3 ± 4.4 (range 14-29) years and the mean follow-up period was 27.1 ± 7.8 (range 18-45) months. Clinical or radiological recurrence was not observed in any of the patients during the follow-up period. Four patients had superficial infections, which were treated using appropriate antibiotic therapies. As SE is an uncommon benign lesion, its diagnosis may be delayed. 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subjects Adolescent
Adult
Bone Neoplasms - diagnostic imaging
Bone Neoplasms - surgery
Cartilage - diagnostic imaging
Cartilage - surgery
Diagnosis, Differential
Exostoses - diagnostic imaging
Exostoses - surgery
Female
Humans
Male
Middle Aged
Nail Diseases - diagnostic imaging
Nail Diseases - surgery
Nails - surgery
Original
Orthopedics - methods
Pain Measurement
Postoperative Period
Recurrence
Retrospective Studies
Surveys and Questionnaires
Young Adult
title Surgical treatment of nail bed subungual exostosis
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