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A Novel Use of Umbilical Perinatal Graft in Subungual Exostosis Resection / Juan Carlos Goez in Journal of the American Podiatric Medical Association, vol. 110, 04 (Juillet-aout 2020)
[article]
in Journal of the American Podiatric Medical Association > vol. 110, 04 (Juillet-aout 2020)
Titre : A Novel Use of Umbilical Perinatal Graft in Subungual Exostosis Resection Type de document : article de périodique Auteurs : Juan Carlos Goez ; Chen-An Wang ; Zachary Sax ; Farzana Arif Année de publication : 2020 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:Exostose sous-unguéale
[Thésaurus HELB]:Paramédical:GREFFE
[Thésaurus Mesh]Chirurgie générale
[Thésaurus Mesh]Cordon ombilical
[Thésaurus Mesh]Onychopathies
[Thésaurus Mesh]Orteils
[Thésaurus Mesh]ThérapeutiqueRésumé : Nail pathologies have a broad range of origin and may sometimes be complicated in presentation or clinical course, specifically when the pathology remains recalcitrant after treatment. In this case report we discuss a pathologic disorder that was initially misdiagnosed as a pyogenic granuloma surrounding an ingrown nail but was later found to be a benign neoplastic bone growth, Dupuytren exostosis, also known as a subungual exostosis. Operative treatment was deemed appropriate for the patient, and the exostosis was resected, leaving a soft-tissue void at the distal toe. The remaining void was filled with a perinatal graft, the use of which has been deemed effective anecdotally in both chronic and acute lower-extremity wounds but has not been widely discussed in the lower-extremity literature. This graft was placed to aid in wound healing over a potentially difficult wound bed. As amniotic, chorionic, and umbilical grafts become more prevalent in lower-extremity surgery, its antitumor effects should be further explored and published. This is the first case report, to our knowledge, of the successful use of a perinatal graft in the setting of a bone tumor, and it demonstrates that certain benign neoplasms can be treated with resection and placement of a perinatal graft while helping to prevent chronic wounds at surgical sites. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Subungual Exostosis on the Right Hallux / Michael Tritto in Journal of the American Podiatric Medical Association, vol. 111, 06 (Novembre-décembre 2021)
[article]
in Journal of the American Podiatric Medical Association > vol. 111, 06 (Novembre-décembre 2021)
Titre : Subungual Exostosis on the Right Hallux Type de document : article de périodique Auteurs : Michael Tritto ; Gene Mirkin ; Xingpei Hao, Auteur Année de publication : 2021 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Diagnostic par imagerie
[Thésaurus Mesh]Orteils
[Thésaurus Mesh]Thérapeutique
[Thésaurus HELB]:Paramédical:Exostose sous-unguéaleRésumé : Subungual exostosis (SE) is a benign, relatively uncommon bony growth underneath the nails of the distal phalanx of toes or fingers, with a majority on the toes. Clinically, it has two subvariants—protruded and nonprotruded growths from nail plates—which are treated differently. In this article, we report a case of protruded SE in a teenager with illustrative surgical excision. A 15-year-old boy presented with a painful growth on his right great toe of 6 months' duration. Physical examination revealed a 1-cm-diameter, solid, erythematous, rough, irregular growth penetrating through the skin along the dorsolateral nail bed of the right hallux with deformity of the lateral nail plate. Radiographs showed an elevated mass over the distal phalanx of the right lateral hallux. The mass was surgically excised and histopathologic examination confirmed the diagnosis of SE. The patient had no relapse or recurrence at follow-ups of 6 and 18 months. Subungual exostosis is a relatively uncommon bony growth in the toes. Radiography is favored for the diagnosis. Complete surgical excision is the optimal treatment, with rare recurrence. It needs to be differentiated from other bony lesions, including bizarre parosteal osteochondromatous proliferation, myositis ossificans, fibro-osseous pseudotumor, osteochondroma, and enchondroma. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Subungual exostosis systematic review and meta-analysis / Laura Pérez-Palma in Journal of the American Podiatric Medical Association, vol.108, 4 (Juillet-aout 2018)
[article]
in Journal of the American Podiatric Medical Association > vol.108, 4 (Juillet-aout 2018) . - p. 320-333
Titre : Subungual exostosis systematic review and meta-analysis Type de document : article de périodique Auteurs : Laura Pérez-Palma Année de publication : 2018 Article en page(s) : p. 320-333 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Enseignement
[Thésaurus Mesh]Podologie
[Thésaurus HELB]:Paramédical:Exostose sous-unguéaleMots-clés : study podiatry subungual exostoses Résumé : Background: The coexistence of deformity of the nail bed and subungual exostosis (SE) is a frequent finding in podiatric practice in the fourth and fifth decades of life. However, it has been described by other specialists as being an uncommon osteocartilaginous tumor most prevalent during the second and third decades of life. This study attempts to determine the causes of this discrepancy. Methods: Two authors independently conducted a systematic bibliographic review in multiple databases, podiatry sources and others, and key words were chosen to achieve a broad search strategy. Studies reporting on epidemiology and treatment of SE lesions in lower extremities in ten or more patients were selected. Initially, 197 articles were identified through database screening, with 23 meeting all inclusion and exclusion criteria. Seven articles with the ages of all of the patients were included in the analysis of age data. A comparison was then made between the diagnostic criteria for the selected 23 articles. Results: Model results reveal that, although there are some significant differences between individual studies, the main factor tested (patient’s age) was clearly significant (F1,5.2 ¼ 78.12, P , .001), showing that studies coming from the podiatry speciality were conducted on individuals with a mean age of 37 years higher than in studies from other specialties. Clinical and radiologic characteristics and treatment described in the podiatry literature also contrast with those in other specialties. Conclusions: The SE described by podiatrists, in accordance with the parameters of true exostosis, is different from Dupuytren’s SE and should be considered as a different pathologic entity. The authors are working on its histologic identification. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible