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Subungual osteochondroma: Nail sparing excision.

Anurag Tiwari¹, Nidhi Agrawal², Tarun Verma¹

¹Department of Orthopaedics, Maulana Azad Medical College, New Delhi, India.

Journal of Clinical Orthopaedics and Trauma

|December 27, 2016

Summary

This summary is machine-generated.

Subungual osteochondroma, a benign bone tumor, causes pain and nail deformity in young patients. Surgical excision preserving the nail apparatus offers good functional and cosmetic outcomes without recurrence.

Keywords:

Excision Nail Osteochondroma Ring tourniquet Subungual

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Area of Science:

Orthopedics
Surgical Oncology
Podiatry

Background:

Subungual osteochondroma is an uncommon benign bone tumor.
It primarily affects children and young adults, causing pain and nail deformity.
Standard treatment involves marginal excision and wound closure.

Observation:

This report details three cases of subungual osteochondroma on the great toe's distal phalanx.
Patients underwent marginal excision with nail apparatus preservation under digital block anesthesia.
A glove finger ring tourniquet was utilized for surgical access.

Findings:

The surgical technique successfully removed the osteochondromas.
Preservation of the nail apparatus prevented nail deformity.
No recurrence was observed during follow-up.

Implications:

This approach provides effective management for subungual osteochondroma.
Preserving the nail apparatus is crucial for optimal cosmetic and functional results.
The glove finger ring tourniquet is a practical tool for this procedure.