The malformations, diseases and injuries of the fingers and toes and their surgical treatment . ect of the extremity of the distalphalanx of the great toe. As they grow they gra-dually force aside the nail, or cause it to bulge up,and consequently give rise to much pain and in-convenience. The soft parts over the summit ofthese tumours sometimes ulcerate, and occasiongreat discomfort. The exostosis is sometimes connected to thebone by a broad base, at other times by a narrowpedicle only. Cases of this kind of exostosis areusually easily distinguished, but the presence of anulcer over the tumou
The malformations, diseases and injuries of the fingers and toes and their surgical treatment . ect of the extremity of the distalphalanx of the great toe. As they grow they gra-dually force aside the nail, or cause it to bulge up,and consequently give rise to much pain and in-convenience. The soft parts over the summit ofthese tumours sometimes ulcerate, and occasiongreat discomfort. The exostosis is sometimes connected to thebone by a broad base, at other times by a narrowpedicle only. Cases of this kind of exostosis areusually easily distinguished, but the presence of anulcer over the tumour, or an inflamed state of the M 178 TUMOURS OP THE DIGITS. parts around, may prevent the surgeon ascertainingthe true nature of the case. The following is agood example of exostosis of the great toe. Case 31.—Exostosis growing from the Distal Phalanxof the Great Toe. J. S., aged eighteen, admitted into the Clinical SurgicalWards of the Eoyal Infirmary with an exostosis growingfrom the distal phalanx of the great toe. The tumour firstcommenced to appear about two years ago, and did not at. first cause any inconvenience, but as it increased in sizegave a good deal of annoyance, obliging her to have a pieceof her boot cut out so as to take off pressure from theextremity of the toe. The tumour was about the sizeof a small nut, and of a rounded shape. It sprang fromthe dorsal aspect of the extremity of the distal phalanxof the toe, and in its growth had pushed the end of thenail upwards. The tumour was readily removed bycutting the nail away from, around it, dividing the skin TUMOURS OF THE DIGITS. 179 round its base, and clipping through its neck with a pairof bone forceps. The appearance of the tumour viewedlaterally before removal is shown in the accompanyingwoodcut, and a representation of the tumour itself afterdissection is also given. I also give, in Plate XL, several other illustrationsof this kind of tumour, all of which are taken frompreparations in the Edinburgh Univer
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Keywords: ., bookcentury1800, bookdecade1860, bookpublisherphiladelphialippin
