Simultaneous Glomus Tumors of the Third and Fourth Toes

Kimura, Tadashi; Kubota, Makoto; Hattori, Hidekazu; Saito, Mitsuru

doi:10.2106/jbjs.cc.21.00780

JBJS Case Connector

2022

DOI: 10.2106/jbjs.cc.21.00780

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Simultaneous Glomus Tumors of the Third and Fourth Toes

Tadashi Kimura

Makoto Kubota

Hidekazu Hattori

et al.

Abstract: Case: A glomus tumor of the toes is rare, and as far as we know, there has been no report of simultaneous occurrence in 2 toes. A 45-year-old woman presented with forefoot pain. Based on imaging findings, glomus tumors of the third and fourth toes were suspected. Tumor resection was performed, and pathological examination confirmed the diagnosis of glomus tumors. Conclusion: In this case, it was difficult to recognize the tumors because they occurred si… Show more

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2024

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Cited by 2 publications

References 16 publications

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Foot, Toe, and Nail Changes: Are They Interdependent?

Haneke

2024

Skin Appendage Disord

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Introduction: The toes are the distal extension of the foot increasing its weight-bearing area and the security of the stance. The nails are the acral part of the toes and are so intimately linked with the distal interphalangeal joint, its ligaments, and tendons that they were also called musculoskeletal appendages. The big toe is of particular importance for gait and stance. Anatomic alterations of the foot and toe lead to pathological changes of the nails, both directly as well as indirectly. Methods: The author evaluated the clinical photographs of 1,663 patients examined for toenail conditions. Results: It was found that a normal straight axis of the first ray of metatarsal and phalanx bones occurred in less than 10% of the patients with hallux valgus and hallux valgus interphalangeus being extremely frequent. The commonest nail changes observed were compression nail (n = 247), ingrown nail (196), onychomycosis (192), disappeared nail bed (191), congenital malalignment (118), pincer nails (118), and nail overcurvature (114). The most frequent foot-toe abnormalities were hallux valgus (775) and hallux valgus interphalangeus (1,277). Conclusion: Although a direct causal relationship is hard to prove it was realized that most of the nail changes were associated with foot and toe abnormalities. The study reveals that assessing toenail changes requires examination of the entire foot, best in relaxed, standing, and walking conditions.

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Foot, Toe, and Nail Changes: Are They Interdependent?

Haneke

2024

Skin Appendage Disord

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Outcomes Following Excision of Toe Glomus Tumors

Joyson D. R.,

Sasi P.,

Prabhu

et al. 2024

Foot Ankle Int.

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Background: Glomus tumors are uncommon tumors and their occurrence in the foot is even less common. Glomus tumors of the toes are often missed, causing delays in diagnosis and treatment. We report an ambispective observational study of glomus tumors of the toes that were treated at our institution. Methods: We reviewed the records of all the patients who underwent excision of toe glomus tumors in our department from January 2010 to September 2022. The follow-up data were collected from the outpatient records and by telephonic interview. Single Assessment Numeric Evaluation (SANE) score, Foot and Ankle Outcome Score (FAOS), and the Foot Function Index (FFI) were collected. Results: Out of all the patients treated for glomus tumors, we found that 7 patients had glomus tumors of the toes. Of the 7 patients, 6 were women and 1 was a male. The mean follow-up of our patients was 66.4 months (range, 7-109 months). Of the 7 patients, 1 presented with recurrent glomus tumor 30 months following the primary operation, for which she underwent excision again, after which she was symptom free. Another patient who developed recurrent symptoms on telephonic interview refused any further treatment. Among the 6 patients who were symptom-free at follow-up (including the patient who underwent excision for the recurrent tumor), the median SANE score, and FFI were 99.5 (IQR, 96-100) and 0.5 (IQR, 0-2) respectively. The mean FAOS was 96 (SD, 3.3). Conclusion: Surgical excision of the subungual toe glomus tumors can be curative. Recurrence of toe glomus tumors was noted in 2 patients (29%), one of whom refused further surgery. Re-excision in the other patient resulted in complete resolution of symptoms. Level of Evidence: Level III, ambispective observational study.

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Simultaneous Glomus Tumors of the Third and Fourth Toes

Cited by 2 publications

References 16 publications

Foot, Toe, and Nail Changes: Are They Interdependent?

Foot, Toe, and Nail Changes: Are They Interdependent?

Outcomes Following Excision of Toe Glomus Tumors

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