Subungual Exostosis of the Great Toe

Singh, Rohit; Jain, Mantu; Goel, Rakesh; Siwach, Ramchander; Kalra, Rajneesh; Kaur, Kiranpreet

doi:10.1177/1938640011418495

Cited by 8 publications

(2 citation statements)

References 13 publications

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“…En la revisión de la literatura todos los autores, excepto Malkoc 6 , coinciden en que ambas patologías son tumoraciones osteocartilaginosas benignas (Tabla I). En referencia a las características histológicas, nos encontramos con diferencias en el tipo del cartílago que recubre la lesión, siendo hialino en el osteocondroma 2,7-9 y de fibrocartílago en la exostosis subungueal 2,6,[10][11][12][13][14][15][16][17][18][19][20] , mientras que solo Storlazzi 21 no la identifica como tal.…”

Section: Revisión De La Literaturaunclassified

¿Osteocondroma o exóstosis subungueal? Una revisión sistemática

Fernández¹,

Nova²

2018

Rev. Esp. Pod.

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Este es un archivo PDF de un manuscrito inédito que ha sido aceptado para su publicación en la Revista Española de Podología. Como un servicio a nuestros clientes estamos proporcionando esta primera versión del manuscrito en estado de pre-publicación. El manuscrito será sometido a la corrección de estilo final, composición y revisión de la prueba resultante antes de que se publique en su forma final. Tenga en cuenta que durante el proceso de producción se pueden dar errores lo que podría afectar el contenido final. El copyright y todos los derechos legales que se aplican al artículo pertenecen a la Revista Española de Podología.

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Section: Revisión De La Literaturaunclassified

¿Osteocondroma o exóstosis subungueal? Una revisión sistemática

Fernández¹,

Nova²

2018

Rev. Esp. Pod.

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“…In the subungual region, SE can easily be misdiagnosed as verruca vulgaris, glomus tumor, enchondroma,pyogenic granuloma, osteosarcoma or malignant melanoma 10 . Early recognition and accurate diagnosis of these lesions with their distinctive clinical, radiologic, and histopathologic features are critical in preventing overaggressive, sometimes mutilating therapy 11 .…”

Section: Introductionmentioning

confidence: 99%

Subungual exostosis of the great toe: A case report

Kafle

Rijal²,

Pandey

2020

J. Kathmandu Med. Coll.

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Subungual exostosis is typically a rare benign, acquired tumor of cartilaginous bone occurring on the medial surface of the distal hallux of toes or fingers. These are usually associated with secondary changes such as elevation of the nail plate, ulceration or subungual hyperkeratosis and hyperpigmentation. On histological examination, the lesion consists of mature bone at the base with proliferating fibrocartilaginous cap. A 14-year-old male presented with a solitary firm swelling gradually increasing in size for three months on the distal part of the right great toe. On physical examination, a firm, non-tender, non-mobile, whitish nodule was noted in the distal dorsomedial aspect of the right great toe distorting the adjacent nail. Radiographs demonstrated a dorsal bony outgrowth that was continuous with the distal phalanx. Excisional biopsy was done and on histopathological examination, a characteristic trabecular pattern of mature bone covered with a hyaline and fibrocartilaginous cap was seen. There was lack of true anaplasia, thereby confirming the diagnosis of subungual exostosis. There was no recurrence over six months. This topic is underrepresented in the orthopaedic literature, because many of the important clinical series have been published in journals from other branches of medicine i.e. mainly by dermatologists and pathologists. This reflects the fact that the condition is treated by many kinds of non-orthopaedic providers. We, as orthopaedic surgeons, must be careful while evaluating lesions of distal phalanges, always keeping in mind the possibility of subungual exostosis. Radiographs are helpful in diagnosis but confirmation can be done by histopathological examination. En bloc excision with minimal nail plate deformation can help prevent recurrence or deformity.

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