• 대한족부족관절학회지
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• 제2권1호
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• pp.13-18
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• 1998

Subungal exostosis is a rare benign cartilaginous tumor affecting the distal phalanx. From 1995 to 1996, six subungal exostoses of the hallux were treated in the Chonnam national university hospital. The symptoms were subungal pain, mass on the distal phalanx elevating the nail or causing ulceration of the nail bed. The plain radiological examination showed a bony mass occurring on the dorsomedial or medial aspect of the distal phalanx. The diagnosis of the subungal exostosis of the hallux were suspected from clinical presentation and confirmed with radiographic examination. Histological patterns were fibrocartilaginous cap with the mature trabecular bone. Complete excision of the lesion including overlying nail bed was curative without recurrence in all cases.

• Archives of Hand and Microsurgery
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• 제23권4호
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• pp.277-280
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• 2018

Turrets exostosis are extremely rare to occur. Benign bony outgrowths from the dorsum of the phalanges following trauma are termed Turrets exostosis. We report an unusual case of Turrets exostosis of the fourth finger with no preceding trauma which has never been reported before. A 50-year-old female patient presented to us with a bony swelling on the dorsum of the fourth finger of her right hand in one year. The swelling was dormant initially and started to progress in size since three months leading to pain, restriction of movements and deformity of the finger. Turrets exostosis are very rare to occur. A preceding history of trauma is not necessary for it to occur as described in the literature. Surgical excision yields good results and is indicated when the bony mass causes a progressive deformity of the finger and restriction of movements of the finger.

• Archives of Plastic Surgery
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• 제44권2호
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• pp.162-165
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• 2017

Multiple osteochondromas (MO) is characterized by the formation of osteochondromas throughout the entire body. Although the evidence regarding its pathogenesis is well understood, no curative treatment for the disorder is available. Patients can be treated symptomatically by surgical removal of painful osteochondromas. Unfortunately, some patients still suffer from severe pain, even after surgery. We report on a case concerning a 48-year-old woman with a history of MO who presented with persistent pain after surgical removal of a symptomatic osteochondroma of the left scapula and multiple symptomatic osteochondromas of the left foot and trochanteric region. Several interventions to reduce the pain did not have any lasting effect. Subsequently, she was treated with autologous fat grafting (AFG). After each session she was pain-free for at least one year and reported only partial recurrence of the pain. This is the first case report describing AFG for the treatment of pain after both surgical removal of an osteochondroma and symptomatic osteochondromas in a patient suffering MO with promising results. The treatment is more effective and clearly continues to remain active longer than injection therapy or pain medication. Future studies are necessary to confirm our results.

• 대한골관절종양학회지
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• 제5권1호
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• pp.56-62
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• 1999

Purpose : This study was conducted to analyze the clinical materials and treatment results of 13 cases of subungual exostosis. Materials and Methods : Thirteen subungual exostoses of the foot treated from January 1991 to December 1997 were studied. We analyzed the clinical data and results of treatment to identify the clinical characteristics of this disease. We investigated the location, shape and relation of exostosis to phalanx with simple x-ray of the foot to identify the radiological characteristics. All the cases were sent to pathologic examination after resection to determine the pathological characteristics. Results : The results of physical examination on presentation were various. Most cases were located at the dorsomedial side of the distal phalanx and were involved in the toe nail. Eleven cases were located at great toes and one each at the 2nd and 3rd toe. Causes of exostosis were not clear, but 2 cases were related to trauma. For the type of exostosis, 7 cases were sessile and 6 were stalk type. On histologic examination, 9 cases showed a cartilaginous portion with overlying proliferating fibrous tissue and underlying bone formation. There was a gradual maturation of spindle cell proliferation from cartilage to cancellous bone. The cartilage was moderately cellular with some pleomorphism, but true anaplasia was not present. Conclusion : The clinical presentation and findings of simple x-rays were most helpful in diagnosing subungual exostosis. Complete excision of the mass achieved complete relief of symptoms and recovery without recurrence in all cases.

• 대한족부족관절학회지
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• 제9권1호
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• pp.113-116
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• 2005

The osteochondroma is a cartilage-capped exostosis resulting from an error in the regulation of normal chondrocyte proliferation and maturation that leads to a normal bone growth. Although exostoses are benign lesions, they are often associated with characteristic progressive skeletal deformities and may cause clinical symptoms. Surgery can prevent progression and provide correction for certain deformities. We experienced a rare case of solitary osteochondroma in a 21-year-old male which caused the valgus deformity of the ankle.

• 대한골관절종양학회지
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• 제9권1호
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• pp.69-76
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• 2003

목적: 족부에 발생하는 종양의 임상적 특성과 병리학적 특성 및 분포 등을 조사하여, 족부 종양을 진단하고 치료하는데 기초 자료를 제공하고자 한다. 대상 및 방법: 족부 종양 환자 141명의 142 종양을 대상으로 하였다. 대상환자들은 모두 조직검사를 통하여 진단이 된 환자들이었다. 대상이 되었던 환자들의 의무기록과 영상 검사들을 후향적으로 검토하여 종양의 역학적 조사와, 임상적 특성과 수술의 방법을 확인하였고, 병리학적 특성을 조사하였다. 종양이 발생 위치는 Kirby 등이 제안한 구역(zone)에 따라 분류하였다. 결과: 여자는 75명이었고 남자는 66명으로 여자가 조금 많았다. 전체 환자들의 평균 나이는 33.2세였다. 양성 연부조직 종양이 68예로 가장 많았고, 양성 골종양이 57예, 악성 연부조직 종양이 12예, 악성 골종양이 5예의 순이었다. 양성 연부조직 종양 중에는 결절종이 36예로 가장 많았고, 양성 골종양 중에서는 조갑하 외골종이 18예, 악성 연부조직 종양 중에서는 편평 상피 세포암이 7예, 악성 골종양으로는 폐암의 전이 병소가 2예였다. 환자들의 임상 증상으로 통증은 악성 골종양 환자들이 가장 높은 비율로 호소하였고, 증상 발현 기간은 양성 연부조직 종양이 가장 길었고, 신경학적 증상은 양성 연부조직 종양에서만 3예가 있었다. 종양의 평균 크기는 악성 골종양이 가장 크고, 양성 골종양이 가장 작았다. 구역별 분포는 전체적으로 5 구역에 59예로 가장 많았고, 4 구역에 10예로 가장 적었으며, 양성 골종양에서는 5 구역, 양성 연부조직 종양에서는 1 구역, 악성 골종양에서는 1, 2 구역, 악성 연부조직 종양에서는 5 구역에서 가장 많았다. 수술 방법으로 병소내 혹은 변연부 절제술, 소파술 혹은 소파술 및 골이식 수술, 족지 절단수술, 슬관절 하 절단술과 사지구제술 등이 있었다. 결론: 족부에 발생하는 종양은 드물고 종류가 다양하면서 대부분(88%) 양성 종양이었으나, 진단 과정에서 환자의 나이, 통증 유무, 증상 발현 기간, 종양의 크기 및 발생 구역 등을 고려하여 악성 종양의 가능성을 배제하지 않음으로써 올바른 치료를 할 수 있을 것으로 사료된다.