Subungual Exostosis: Treatment as an Office Procedure

Oliveira, António Da Silva; Picoto, António Da Silva; Verde, S. Fidalgo; Martins, Orlando

doi:10.1111/j.1524-4725.1980.tb00918.x

Cited by 26 publications

(9 citation statements)

References 6 publications

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“…The population in this study is similar to that reported in others 1 , 2 , 6 . In the two largest series, Oliveira et al 7 . found the big toe to be affected in 35 of 49 (71%) and Landon et al 1 .…”

Section: Discussionsupporting

confidence: 89%

Treatment of subungual exostoses by elective day case surgery

Berker

Langtry

1999

British Journal of Dermatology

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Twenty-one patients (11 female, 10 male: mean age 21.3 years) with subungual exostoses were treated with elective surgery under local anaesthetic in a dermatology day case theatre over a period of 8 years. Fifteen (71%) tumours affected the great toe, four (19%) affected other toes and two (10%) affected fingers. All received local excision with great care to remove all tumour residue from the terminal phalanx. Wounds were allowed to heal by secondary intention. Attention was paid to preoperative antiseptic procedure and postoperative analgesia. During follow-up of between 6 and 36 months (mean 17 months), there were two relapses (10%) in the first 12 months, seen in two of the younger subjects aged 9 and 13 years. One required further surgery. One further case suffered long-term dystrophy due to perioperative damage to nail matrix. Conservative and thorough treatment of this pathology can be achieved using the appropriate tools in a dermatology day case theatre.

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Section: Discussionsupporting

confidence: 89%

Treatment of subungual exostoses by elective day case surgery

Berker

Langtry

1999

British Journal of Dermatology

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“…This topic is underrepresented in the orthopaedic literature, because many of the important clinical series have been published in journals from other specialties [4,8,9,12,15,20,21,29,30,33,34,41], reflecting the fact that the condition is treated by many kinds of nonorthopaedic providers. Complete marginal excision of the exostosis appears to mitigate recurrence.…”

Section: Discussionmentioning

confidence: 99%

Subungual Exostosis of the Toes: A Systematic Review

DaCambra

Gupta

Ferri-de-Barros

2014

Clinical Orthopaedics &Amp; Related Research

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“…Neither radiation nor simple cautery is effective (35). One large series achieved good results with a specific surgical procedure (19). Briefly, the nail plate was avulsed after a local anesthetic block was given.…”

Section: Discussionmentioning

confidence: 99%

“…It is important that the lesion be saucerized as it tology (7,351. can recur if this is not done (15,22,35). Various authors reported from 5% to 11% recurrence after excision and curettage (19,35). In all patients subsequent reexcision was effective.…”

Section: Discussionmentioning

confidence: 99%

Subungual Exostosis: Case Report and Review of the Literature

Davis¹,

Cohen²

1996

Pediatrics International

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Subungual exostosis is typically a benign, acquired tumor of cartilaginous bone occurring on the medial surface of the distal hallux. A 16-year-old boy with subungual exostosis of his left great toe is presented. We evaluated the English language literature on this topic from 1857 to 1994; including our patient, 312 cases have been described. The diagnostic characteristics (histologic and radiologic), etiologic features, and therapeutic management were reviewed. Subungual exostosis more commonly affects women than men in a ratio of 21. Most lesions occur in the early twenties; however, a minimum of 51 (16%) of the 312 cases of subungual exostoses appeared in children 18 years of age or younger. Seventy percent of lesions occurred on the first hallux. There was frequently an association with trauma. The diagnosis of subungual exostosis may be suspected from the clinical presentation and confirmed with radiographic examination. The treatment is surgical.

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Subungual Exostosis: Treatment as an Office Procedure

Abstract: The authors describe a series of 49 patients with subungual exostoses, four of them in fingers, the rest in the toes. They present a new and simple technique of extirpation that can be done as an office procedure and with immediate restoration of function.

Cited by 26 publications

References 6 publications

Treatment of subungual exostoses by elective day case surgery

Treatment of subungual exostoses by elective day case surgery

Subungual Exostosis of the Toes: A Systematic Review

Subungual Exostosis: Case Report and Review of the Literature

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