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Related Experiment Video

Updated: Jun 10, 2026

$Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus$

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

Subungual exostosis recurrence in a 16-year-old athletic male.

Javier Ardebol¹, Amir Mubarak¹

¹Medical Research, Universidad Francisco Marroquín, Guatemala, Guatemala.

Oxford Medical Case Reports

|June 25, 2020

Summary

Subungual exostosis, a painful bony growth under the toenail, can recur after surgery. This case highlights a 16-year-old male experiencing a recurring lesion on his big toe, emphasizing the need for effective management strategies.

Keywords:

dermatology nail deformity recurrence subungual exostosis

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Area of Science:

Podiatric medicine
Orthopedic surgery
Dermatology

Background:

Subungual exostosis is a benign, painful bony outgrowth originating from the distal phalanx of the toes.
It commonly affects the hallux (big toe) and can cause discomfort, nail deformity, and gait disturbances.

Purpose of the Study:

To report a case of recurrent subungual exostosis in a young male patient.
To discuss the clinical presentation, diagnostic challenges, and management of subungual exostosis, particularly focusing on recurrence after surgical intervention.

Main Methods:

A case study approach was used, detailing the clinical history, physical examination, and diagnostic imaging of a 16-year-old male with a painful subungual lesion.
The patient underwent surgical extraction of the lesion, with subsequent monitoring for recurrence.

Main Results:

The patient presented with a painful, circumscribed lesion beneath the nail of the first phalanx of the left foot.
The lesion recurred after initial surgical extraction, necessitating further evaluation and management.

Conclusions:

Recurrence of subungual exostosis is possible even after surgical removal.
This case underscores the importance of thorough surgical technique and long-term follow-up for subungual exostosis to minimize the risk of recurrence and ensure optimal patient outcomes.