Subungual (Dupuytren's) exostosis.

Dupuytren's subungual exostosis is an uncommon osteochondral lesion affecting the distal phalanx of adolescents. Lack of awareness of this unusual lesion causes many to be initially misdiagnosed. Accurate diagnosis based on clinical findings and radiographs and appropriate treatment methods are outlined.

Swollen great toe following trauma.

The following case is presented to illustrate the roentgenographic and clinical findings of a condition of interest to the orthopedic surgeon. Initial history, physical findings, and roentgenographic examinations are found on this page. The final clinical and roentgenographic differential diagnoses are presented on the following pages.

Subungual exostosis: a simple technique of excision.

Subungual or Dupuytren's exostosis is a benign lesion of the distal phalanx that is prone to recurrence if incompletely excised. We report on a series of five patients treated with our simple excision technique. Despite sacrifice of a portion of the nail bed, the cosmetic appearance of the nail was excellent in four patients and good in one patient.

A skin suture for foot and ankle surgery.

Severe swelling and skin necrosis are not uncommon following foot and ankle surgery, particularly trauma surgeries. A skin suture technique is presented that has the advantages of being simple, providing good skin eversion and apposition with minimal tension and risk of ischemia, and being easy to remove. The suture technique has been used by the authors for the past 2 years on all foot and ankle trauma and reconstructive cases in which severe swelling was anticipated.