Acquired clubbing of the great toenail. Digital mucoid cyst (pseudocyst)

Karte, Kerstin; Bocker, T; Wollina, Uwe

doi:10.1001/archderm.132.2.225

Cited by 9 publications

(7 citation statements)

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“…Clubbing of the fingers, also known as Hippocratic fingers, is part of a syndrome that includes hypertrophic osteoarthropathy and endocrine, pulmonary, neoplastic, and multisystem diseases. [ 9 ] A neoplastic disease, such as an osteoid osteoma, [ 10 ] mucoid cyst, [ 11 ] or enchondroma, [ 12 ] usually causes a bilateral clubbing deformity, but clubbing can rarely occur in a single finger. Pain can be present in the presence or absence of an infection.…”

Section: Discussionmentioning

confidence: 99%

Enchondroma in the distal phalanx of the finger

Lü¹,

Chen²,

Shen³

2016

Medicine

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The goal of our study was to report the clinical presentation, treatment, and complications of enchondroma in the distal phalanx of the finger. This was a retrospective study of 34 patients (19 women and 15 men) who underwent surgery between May 2004 and September 2012 for enchondroma in the distal phalanx of the finger. The average age of the patients was 39.38 ± 10.97 years old (range 14–59). The presenting symptoms and imaging features were recorded. The surgical procedure was performed under regional or general anesthesia. The surgical technique involved removal of tumors by opening a cortical window and curetting the cavity. The defects were filled with an injectable calcium phosphate cement. All patients received follow-up in our outpatient clinic every 6 months. Expansion of bone or thinning of the cortex present in the radiological imaging, including anteroposterior and lateral plain radiographs of the fingers, was used to assess for tumor recurrence. The observational end-point was reoperation.All tumors were confirmed as enchondromas by the pathological results. None of the patients had a tumor recurrence. Three patients (9% of cases) developed an infection. After antibiotic treatment, 2 patients were cured, and 1 patient required an amputation. Enchondroma in the distal phalanx of the finger presents with a variety of clinical symptoms. Injectable calcium phosphate cement is adequate for bone grafting. Postoperative infection is more common than tumor recurrence. If patients have an infection or bilateral bone cortex defects, bone grafting is challenging.Level of Evidence: Therapeutic study, Level IV

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Section: Discussionmentioning

confidence: 99%

Enchondroma in the distal phalanx of the finger

Lü¹,

Chen²,

Shen³

2016

Medicine

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“…The digit may appear at first glance to be truly clubbed but, on closer inspection, the profile angle will likely be normal. Pseudoclubbing of a single digit can be seen in patients with a subungual tumor, 68 pseudocyst, 69 or osteoid osteoma. 70 Generalized pseudoclubbing can be seen in disease processes that cause acro-osteolysis, 71 and a number of genetic disorders that cause dysmorphic terminal phalanges.…”

Section: Discussionmentioning

confidence: 99%

Clubbing: An update on diagnosis, differential diagnosis, pathophysiology, and clinical relevance

Spicknall

Zirwas

English

2005

Journal of the American Academy of Dermatology

134

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“…Subungual exostoses and mucoid pseudocysts can cause nail deformities. Painful types of nail tumor include glomus tumor, osteoid osteoma, and acquired digital arteriovenous malformation (ADAVM) (15)(16)(17)(18).…”

Section: Subungual and Periungual Tumorsmentioning

confidence: 99%