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Article

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

1
Frailty Research Organizaded Group (FROG), Faculty of Nursing and Podiatry, Department of Nursing, University of Valencia, 46010 Valencia, Spain
2
Research, Health and Podiatry Group, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, 15403 Ferrol, Spain
3
School of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain
4
Faculty of Health Sciences, Universidad Rey Juan Carlos, 28922 Alcorcón, Spain
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Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain
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Department of Psychology, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain
7
Department of Pediatric Surgery, Hospital Clínico Universitario de Santiago, 15706 Santiago de Compostela, Spain
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2020, 9(4), 1122; https://doi.org/10.3390/jcm9041122
Received: 9 March 2020 / Revised: 10 April 2020 / Accepted: 12 April 2020 / Published: 14 April 2020
(This article belongs to the Special Issue Orthopaedic Diseases and Rehabilitation)
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. View Full-Text
Keywords: paediatric foot; subungual osteochondroma; children; bone tumour paediatric foot; subungual osteochondroma; children; bone tumour
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MDPI and ACS Style

Navarro-Flores, E.; López-López, D.; Becerro-de-Bengoa-Vallejo, R.; Losa-Iglesias, M.E.; Romero-Morales, C.; San Antolín-Gil, M.; Calvo-Lobo, C.; Bautista-Casasnovas, A.L. Surgical Treatment on Subungual Osteochondromas in Paediatric Feet: A Case Series Study. J. Clin. Med. 2020, 9, 1122. https://doi.org/10.3390/jcm9041122

AMA Style

Navarro-Flores E, López-López D, Becerro-de-Bengoa-Vallejo R, Losa-Iglesias ME, Romero-Morales C, San Antolín-Gil M, Calvo-Lobo C, Bautista-Casasnovas AL. Surgical Treatment on Subungual Osteochondromas in Paediatric Feet: A Case Series Study. Journal of Clinical Medicine. 2020; 9(4):1122. https://doi.org/10.3390/jcm9041122

Chicago/Turabian Style

Navarro-Flores, Emmanuel, Daniel López-López, Ricardo Becerro-de-Bengoa-Vallejo, Marta E. Losa-Iglesias, Carlos Romero-Morales, Marta San Antolín-Gil, César Calvo-Lobo, and Adolfo L. Bautista-Casasnovas. 2020. "Surgical Treatment on Subungual Osteochondromas in Paediatric Feet: A Case Series Study" Journal of Clinical Medicine 9, no. 4: 1122. https://doi.org/10.3390/jcm9041122

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