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http://dx.doi.org/10.1590/S0325-00752010000100021DOI Listing

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Subungual exostosis is a relatively rare benign bone tumor that occurs near the distal phalanges of the fingers and toes. Though it is similar to osteochondroma, it can be distinguished by its specific location and lack of communication with the medullary cavity. Although recurrence after surgical excision has been reported, no studies have examined the timing or progression of recurrence, nor have there been reports detailing the chronological imaging findings of recurrent cases.

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Article Synopsis
  • Subungual exostosis is a bone growth beneath the nail that can recur if not fully removed, and wide resections may lead to nail deformities.
  • A case study discusses a patient with a recurring exostosis treated with marginal resection, skin grafting, and electron-beam irradiation to minimize recurrence and preserve nail structure.
  • The results were promising, showing effective healing and good cosmetic outcomes, suggesting that electron-beam irradiation could be beneficial for preventing recurrence after surgery.
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Subungual Osteochondroma of the Great Toe: A Case Report.

J Am Podiatr Med Assoc

May 2024

*Department of Orthopaedics, AIIMS, New Delhi, India.

Bony outgrowths of the distal phalanx of the great toe have been described in the literature but rarely. These subungual bony outgrowths can be caused by subungual exostosis or subungual osteochondromas. Both of these abnormalities are bony outgrowths with differences in the cartilage cap wherein the exostoses have fibrocartilage, and osteochondromas have hyaline cartilage.

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