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Surgical Treatment on Subungual Osteochondromas in Paediatric Feet: A Case Series Study

Subungual osteochondroma (SO) is an infrequent and non-malignant bone tumour of the distal phalanx, especially prominent in paediatric populations. The aim of this research was to describe a case series of paediatric feet with SO which received surgical treatments. The secondary purpose was to compa...

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Autores principales: Navarro-Flores, Emmanuel, López-López, Daniel, Becerro-de-Bengoa-Vallejo, Ricardo, Losa-Iglesias, Marta Elena, Romero-Morales, Carlos, San Antolín-Gil, Marta, Calvo-Lobo, César, Bautista-Casasnovas, Adolfo Laureano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230394/
https://www.ncbi.nlm.nih.gov/pubmed/32295260
http://dx.doi.org/10.3390/jcm9041122
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author Navarro-Flores, Emmanuel
López-López, Daniel
Becerro-de-Bengoa-Vallejo, Ricardo
Losa-Iglesias, Marta Elena
Romero-Morales, Carlos
San Antolín-Gil, Marta
Calvo-Lobo, César
Bautista-Casasnovas, Adolfo Laureano
author_facet Navarro-Flores, Emmanuel
López-López, Daniel
Becerro-de-Bengoa-Vallejo, Ricardo
Losa-Iglesias, Marta Elena
Romero-Morales, Carlos
San Antolín-Gil, Marta
Calvo-Lobo, César
Bautista-Casasnovas, Adolfo Laureano
author_sort Navarro-Flores, Emmanuel
collection PubMed
description Subungual osteochondroma (SO) is an infrequent and non-malignant bone tumour of the distal phalanx, especially prominent in paediatric populations. The aim of this research was to describe a case series of paediatric feet with SO which received surgical treatments. The secondary purpose was to compare these descriptive data by sex distribution. Methods: Twenty-three paediatric feet with SO confirmed by clinical or radiological features received surgical treatment. Socio-demographic (age, sex, height, weight and BMI) and clinical features (side, location, tumour or pain presence, and nail lift before surgery, as well as recurrence and adverse effects at one month after intervention) were reported. Results: Regarding clinical features before intervention, the most frequent locations of SO were the first toe (86.8%) and the right lower limb (56.5%). In addition, the presence of the tumour, pain and nail lift showed a prevalence of 91.3%, 69.5% and 47% of the study sample, respectively. Considering clinical features at one month after intervention, the most frequent adverse effect was the pain presence (69.5%). In addition, one case (4.4%) presented ulceration. Only one patient (4.4%) suffered from recurrence with a new tumour. There were not statistically significant differences by sex distribution (p > 0.05). Conclusions: This novel study showed that surgery treatment for SO in paediatric populations presented a very low recurrence degree with minor adverse effects and without differences by sex distribution. Thus, further randomized clinical trials should be carried out in order to determine the effectiveness of this intervention in this special population.
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spelling pubmed-72303942020-05-22 Surgical Treatment on Subungual Osteochondromas in Paediatric Feet: A Case Series Study Navarro-Flores, Emmanuel López-López, Daniel Becerro-de-Bengoa-Vallejo, Ricardo Losa-Iglesias, Marta Elena Romero-Morales, Carlos San Antolín-Gil, Marta Calvo-Lobo, César Bautista-Casasnovas, Adolfo Laureano J Clin Med Article Subungual osteochondroma (SO) is an infrequent and non-malignant bone tumour of the distal phalanx, especially prominent in paediatric populations. The aim of this research was to describe a case series of paediatric feet with SO which received surgical treatments. The secondary purpose was to compare these descriptive data by sex distribution. Methods: Twenty-three paediatric feet with SO confirmed by clinical or radiological features received surgical treatment. Socio-demographic (age, sex, height, weight and BMI) and clinical features (side, location, tumour or pain presence, and nail lift before surgery, as well as recurrence and adverse effects at one month after intervention) were reported. Results: Regarding clinical features before intervention, the most frequent locations of SO were the first toe (86.8%) and the right lower limb (56.5%). In addition, the presence of the tumour, pain and nail lift showed a prevalence of 91.3%, 69.5% and 47% of the study sample, respectively. Considering clinical features at one month after intervention, the most frequent adverse effect was the pain presence (69.5%). In addition, one case (4.4%) presented ulceration. Only one patient (4.4%) suffered from recurrence with a new tumour. There were not statistically significant differences by sex distribution (p > 0.05). Conclusions: This novel study showed that surgery treatment for SO in paediatric populations presented a very low recurrence degree with minor adverse effects and without differences by sex distribution. Thus, further randomized clinical trials should be carried out in order to determine the effectiveness of this intervention in this special population. MDPI 2020-04-14 /pmc/articles/PMC7230394/ /pubmed/32295260 http://dx.doi.org/10.3390/jcm9041122 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Navarro-Flores, Emmanuel
López-López, Daniel
Becerro-de-Bengoa-Vallejo, Ricardo
Losa-Iglesias, Marta Elena
Romero-Morales, Carlos
San Antolín-Gil, Marta
Calvo-Lobo, César
Bautista-Casasnovas, Adolfo Laureano
Surgical Treatment on Subungual Osteochondromas in Paediatric Feet: A Case Series Study
title Surgical Treatment on Subungual Osteochondromas in Paediatric Feet: A Case Series Study
title_full Surgical Treatment on Subungual Osteochondromas in Paediatric Feet: A Case Series Study
title_fullStr Surgical Treatment on Subungual Osteochondromas in Paediatric Feet: A Case Series Study
title_full_unstemmed Surgical Treatment on Subungual Osteochondromas in Paediatric Feet: A Case Series Study
title_short Surgical Treatment on Subungual Osteochondromas in Paediatric Feet: A Case Series Study
title_sort surgical treatment on subungual osteochondromas in paediatric feet: a case series study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230394/
https://www.ncbi.nlm.nih.gov/pubmed/32295260
http://dx.doi.org/10.3390/jcm9041122
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