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

被引:2
|
作者
Navarro-Flores, Emmanuel [1 ]
Lopez-Lopez, Daniel [2 ]
Becerro-de-Bengoa-Vallejo, Ricardo [3 ]
Elena Losa-Iglesias, Marta [4 ]
Romero-Morales, Carlos [5 ]
San Antolin-Gil, Marta [6 ]
Calvo-Lobo, Cesar [3 ]
Laureano Bautista-Casasnovas, Adolfo [7 ]
机构
[1] Univ Valencia, Dept Nursing, Fac Nursing & Podiatry, FROG, Valencia 46010, Spain
[2] Univ A Coruna, Fac Nursing & Podiatry, Dept Hlth Sci, Res Hlth & Podiatry Grp, Ferrol 15403, Spain
[3] Univ Complutense Madrid, Sch Nursing Physiotherapy & Podiatry, Madrid 28040, Spain
[4] Univ Rey Juan Carlos, Fac Hlth Sci, Alcorcon 28922, Spain
[5] Univ Europea Madrid, Fac Sport Sci, Madrid 28670, Spain
[6] Univ Europea Madrid, Dept Psychol, Madrid 28670, Spain
[7] Hosp Clin Univ Santiago, Dept Pediat Surg, Santiago De Compostela 15706, Spain
关键词
paediatric foot; subungual osteochondroma; children; bone tumour; EXOSTOSIS; TOE;
D O I
10.3390/jcm9041122
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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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页数:8
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