Tiwari Anurag, Agrawal Nidhi, Verma Tarun, Lal Hitesh
Department of Orthopaedics, Maulana Azad Medical College, New Delhi, India.
Department of Anesthesia, Vardhman Mahavir Medical College, New Delhi, India.
J Clin Orthop Trauma. 2016 Oct-Dec;7(Suppl 1):72-75. doi: 10.1016/j.jcot.2016.06.014. Epub 2016 Jun 23.
Subungual osteochondroma is a relatively uncommon benign bone tumor affecting mostly children and young adults, and is a major source of pain and nail deformity. Treatment consists of marginal excision and meticulous wound closure. In this report, we present three cases of subungual osteochondroma arising from the dorsal aspect of distal phalanx of the great toe, which were managed by marginal excision with preservation of nail apparatus under digital block anesthesia with the use of a ring tourniquet. We emphasize on the use of ring tourniquet made by glove's finger and the technique of preserving the nail apparatus to prevent nail deformity. At final follow-up, there is no evidence of recurrence or nail deformity with good functional and cosmetic result.
甲下骨软骨瘤是一种相对罕见的良性骨肿瘤，主要影响儿童和年轻人，是疼痛和指甲畸形的主要原因。治疗方法包括边缘切除和细致的伤口缝合。在本报告中，我们展示了3例起源于拇趾远节指骨背侧的甲下骨软骨瘤病例，这些病例在指根阻滞麻醉下使用环形止血带，通过边缘切除并保留甲器进行治疗。我们强调使用手套手指制作的环形止血带以及保留甲器以防止指甲畸形的技术。在最终随访中，没有复发或指甲畸形的迹象，功能和外观效果良好。
