手指甲下骨疣的临床诊断和手术治疗 The clinical diagnosis and surgical treatment of subungual exostosis of the finger.pdfVIP

中国骨与关节杂志 2012年６月第１卷第３期 Chinese Journal of Bone and Joint, June 2012, Vol 1, No.3 . . 311 . 病例报告 Case report . 手指甲下骨疣的临床诊断和手术治疗 杨光　姜涛　 张巨　邢云龙　王振兴 作者单位：130033 长春，吉林大学中日联谊医院手外科(杨光，张巨，邢云龙，王振兴)；血管外科(姜涛) The clinical diagnosis and surgical treatment of subungual exostosis of the finger YANG Guang, JIANG Tao, ZHANG Ju, XING Yunlong, WANG Zhenxing. Department of Hand Surgery, China-Japan Union Hospital of Jilin University, Jilin, Changchun, 130033, PRC Abstract Background Subungual exostosis is a benign bone tumor, arising beneath the nail of finger 【 】 or toe, and its typical manifestations are subungual mass and nail deformity. It is not so difficult to make diagnosis and conduct treatment. Prognosis is also good. However, insufficient understanding which may lead to delayed diagnosis and improper treatment would cause not only recurrence but also irreversible nail deformity, which destroy the appearance and function of the finger or toe. Objective To discuss the clinical diagnosis and surgical treatment of subungual exostosis of the finger. Methods We had collected 16 cases of subungual exostosis of the finger and retrospectively analyzed the clinical symptoms, roentgenography, pathological diagnosis and surgical approaches. Follow-up and evaluation were applied. Results All the cases underwent surgery after the confirmed diagnosis. The postoperative follow-up period for all the cases was in the range of 9 months to 3 years, and there was no recurrence. The nail regeneration and appearance of the finger were satisfactory. Conclusions Satisfactory therapeutic effects can be achieved if the nail bed was well protected intraoperatively on the ba