The Influence of Clinical Factors on Treatment Outcome and a Recurrence of Surgically Removed Protruded Subungual Osteochondroma and Subungual Exostosis
Background: Subungual exostosis (SE) and subungual osteochondroma (SO) are benign solitary lesions that grow from the distal phalanx. The mass itself is typically painless, but pressure on the nail plate can result in pain and deformity of the involved digit. Tumors can be correctly diagnosed based...
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MDPI AG
2023-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/19/6413 |
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| author | Mikołaj Dąbrowski Damian Rusek Aleksandra Dańczak-Pazdrowska Anna Litowińska |
| author_facet | Mikołaj Dąbrowski Damian Rusek Aleksandra Dańczak-Pazdrowska Anna Litowińska |
| author_sort | Mikołaj Dąbrowski |
| collection | DOAJ |
| description | Background: Subungual exostosis (SE) and subungual osteochondroma (SO) are benign solitary lesions that grow from the distal phalanx. The mass itself is typically painless, but pressure on the nail plate can result in pain and deformity of the involved digit. Tumors can be correctly diagnosed based on clinical, histological and radiographic appearance alone. Surgical resection of SE/SO is typically curative, with a small risk of recurrence. Methods: The study was retrospective and observational, involving 74 patients with subungual SE/SO. The surgical procedure consisted of the removal of the tumor from the dorsal approach under digital anesthesia. The procedure was assessed using a questionnaire and photo documentation after a minimum of 6 months after surgery. Results: A total of 85% of respondents were satisfied with the procedure. Nearly 80% of patients rated the cosmetic effect as good or very good. Young age and pain intensity after surgery showed statistically significant associations with worse satisfaction. Age < 18 was associated with recurrence. Conclusions: Worse satisfaction is strongly associated with recurrence. Gender, duration of symptoms, pain before surgery and tumor size and destruction of the nail plate had no significant effect on recurrence. The technique using burr appeared to be a more effective treatment. |
| first_indexed | 2024-03-10T21:41:49Z |
| format | Article |
| id | doaj.art-7bb90aad365a43e1a77346a78fcf5ebb |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T21:41:49Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-7bb90aad365a43e1a77346a78fcf5ebb2023-11-19T14:38:26ZengMDPI AGJournal of Clinical Medicine2077-03832023-10-011219641310.3390/jcm12196413The Influence of Clinical Factors on Treatment Outcome and a Recurrence of Surgically Removed Protruded Subungual Osteochondroma and Subungual ExostosisMikołaj Dąbrowski0Damian Rusek1Aleksandra Dańczak-Pazdrowska2Anna Litowińska3Adult Spine Orthopaedics Department, Poznan University of Medical Sciences, 61-545 Poznan, PolandDepartment of Pathomorphology, Regional Hospital in Poznań, Juraszów 7 St., 60-479 Poznan, PolandDepartment of Dermatology, Poznan University of Medical Sciences, 60-806 Poznan, PolandAnmedica-Healthy Foot Center, Grunwaldzka Street 121, 60-313 Poznan, PolandBackground: Subungual exostosis (SE) and subungual osteochondroma (SO) are benign solitary lesions that grow from the distal phalanx. The mass itself is typically painless, but pressure on the nail plate can result in pain and deformity of the involved digit. Tumors can be correctly diagnosed based on clinical, histological and radiographic appearance alone. Surgical resection of SE/SO is typically curative, with a small risk of recurrence. Methods: The study was retrospective and observational, involving 74 patients with subungual SE/SO. The surgical procedure consisted of the removal of the tumor from the dorsal approach under digital anesthesia. The procedure was assessed using a questionnaire and photo documentation after a minimum of 6 months after surgery. Results: A total of 85% of respondents were satisfied with the procedure. Nearly 80% of patients rated the cosmetic effect as good or very good. Young age and pain intensity after surgery showed statistically significant associations with worse satisfaction. Age < 18 was associated with recurrence. Conclusions: Worse satisfaction is strongly associated with recurrence. Gender, duration of symptoms, pain before surgery and tumor size and destruction of the nail plate had no significant effect on recurrence. The technique using burr appeared to be a more effective treatment.https://www.mdpi.com/2077-0383/12/19/6413nail surgerysubungual exostosissubungual osteochondromasubungual tumorsubungual massclinical factors |
| spellingShingle | Mikołaj Dąbrowski Damian Rusek Aleksandra Dańczak-Pazdrowska Anna Litowińska The Influence of Clinical Factors on Treatment Outcome and a Recurrence of Surgically Removed Protruded Subungual Osteochondroma and Subungual Exostosis Journal of Clinical Medicine nail surgery subungual exostosis subungual osteochondroma subungual tumor subungual mass clinical factors |
| title | The Influence of Clinical Factors on Treatment Outcome and a Recurrence of Surgically Removed Protruded Subungual Osteochondroma and Subungual Exostosis |
| title_full | The Influence of Clinical Factors on Treatment Outcome and a Recurrence of Surgically Removed Protruded Subungual Osteochondroma and Subungual Exostosis |
| title_fullStr | The Influence of Clinical Factors on Treatment Outcome and a Recurrence of Surgically Removed Protruded Subungual Osteochondroma and Subungual Exostosis |
| title_full_unstemmed | The Influence of Clinical Factors on Treatment Outcome and a Recurrence of Surgically Removed Protruded Subungual Osteochondroma and Subungual Exostosis |
| title_short | The Influence of Clinical Factors on Treatment Outcome and a Recurrence of Surgically Removed Protruded Subungual Osteochondroma and Subungual Exostosis |
| title_sort | influence of clinical factors on treatment outcome and a recurrence of surgically removed protruded subungual osteochondroma and subungual exostosis |
| topic | nail surgery subungual exostosis subungual osteochondroma subungual tumor subungual mass clinical factors |
| url | https://www.mdpi.com/2077-0383/12/19/6413 |
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