Subcutaneous Exostosis of the Toes in Children and Adolescents Treatment Experience.

Background: In 2023-2024 in the *******14 pediatric and adolescent patients with osteocarticular formations of the subungual plate of the toes - subungual exostosis were treated. Before going to the hospital, patients were observed in other medical institutions, where they received treatment, including surgical treatment for the disease – ingrown toenail. Aims: Assessment of the diagnosis and treatment results of patients with subungual exostosis of the toes. To identify criteria for the diagnosis of osteochondrosis with subcutaneous localization in children and adolescents. Differential diagnosis with other lesions of the nail phalanges of the toes. Methods: For the period 2023-2024 in the DGKB St. In Vladimir DZM Moscow, 14 patients underwent surgery for toe stumps. Results: According to the results of the performed operations, the pathomorphological conclusion in all cases is "osteochondroma". The follow-up period in the catamnesis was up to 2 years, there were no recurrences of growth and other complications of the postoperative period. Conclusions: The rarity of subungual exostosis pathology is relative and depends on the doctor's knowledge of the possible pathology. Our experience and that of our colleagues indicates cases of detection of stumps of both the 1st toe and other toes, with the exception of the 5th toe. In case of recurrence of HF after surgical treatment, we recommend performing an X-ray of the area of interest in at least 2 mutually perpendicular projections. Radical surgical removal of subungual exostosis is the only correct and effective method of treating subungual exostosis. Bearing in mind the pathology of subungual exostosis and having clinical experience, it is possible to suspect subungual exostosis and verify the diagnosis by performing finger X-rays. Only complete removal of the formation prevents the recurrence of subungual exostosis. It is possible to perform computed tomography of the area of interest to determine the full amount of education in preoperative planning.