1/5. Subungual exostosis of the third toe.Subungual exostosis is a variant of osteochondroma that appears as a pinkish nodule under the free end of the nail plate. It becomes symptomatic when large enough to disrupt the overlying nail on the digit or through mechanical irritation of the exostosis from physical activity. Appropriate workup of such a lesion is important, because many cases of subungual exostosis are initially misdiagnosed by a variety of specialists, including dermatologists. With the use of history and roentgenography, subungual exostosis can be effectively diagnosed or excluded. Appropriate treatment of subungual exostosis can be selected- surgical excision of the lesion with significant cure rates achieved. Although most cases of subungual exostosis are localized to the great toe, we describe a 32-year-old woman who developed a subungual exostosis on her right third toe. Appropriate diagnostic workup and surgical treatment of the right third-toe exostosis has resulted in complete relief of symptoms with no signs of recurrence 7 months after surgery.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/5. Report of an unusual case of trigger finger secondary to phalangeal exostosis.Trigger finger is commonly secondary to stenosing tenosynovitis. Space occupying lesions in the tendon bed, although uncommon, may prevent smooth tendon gliding. These include lipoma, anomalous muscle insertions, tumours of the tendon sheath and haemangiomas. We describe a patient who had triggering of the left middle finger at the proximal interphalangeal joint due to an exostosis blocking the flexor tendons gliding. Removal of the exostosis relieved the problem. The clinician must be aware that there are other causes for triggering. These may be identified with pertinent findings in the history and physical examination.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
3/5. Talotibial exostoses with entrapment of the deep peroneal nerve.An athlete with talotibial exostoses with entrapment of the deep peroneal nerve is presented. This diagnosis was made by history, physical and roentgenographic examinations, bone scan, and isokinetic exercising. Treatment of this condition involved surgical excision of the boney exostoses.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
4/5. Bony mass associated with hypertrophy of the sternohyoid muscle after radical neck dissection.As a late complication after radical neck dissection, this paper reports a bony mass at the sternal end of the clavicle associated with hypertrophy of the sternohyoid muscle. The bony mass and hypertrophy of the muscle were considered due to continuous mechanical strain by the drooping of the shoulder caused by injury of the accessory and cervical nerves, left-handed physical labour, and the lack of the sternocleidomastoid muscle in rotating the head.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
5/5. Ophthalmologic examination in the diagnosis of proteus syndrome.PURPOSE: To describe the clinical features of proteus syndrome, a rare recently recognized hamartoneoplastic malformation, with emphasis on the ocular findings. methods: Complete physical and ocular examination of two new patients with proteus syndrome. RESULTS: The two reported cases illustrate the wide clinical polymorphism of proteus syndrome and the overlap of its clinical manifestations with those of other overgrowth syndromes. Both patients had periorbital exostoses and epibulbar tumors. The ocular findings are compared with those in the literature. CONCLUSION: Considering the paucity of information in the ophthalmic literature, this article explores the role of the ophthalmologist in diagnosing this rare entity.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |