Case and Research Letters
Turret Exostosis or Acquired Osteochondroma
Exostosis de Turret: osteocondroma adquirido
Leído
18054
Vecesse ha leído el artículo
4805
Total PDF
13249
Total HTML
Compartir estadísticas
array:24 [ "pii" => "S1578219011000138" "issn" => "15782190" "doi" => "10.1016/j.adengl.2010.09.003" "estado" => "S300" "fechaPublicacion" => "2011-08-01" "aid" => "347" "copyright" => "Elsevier España, S.L. and AEDV" "copyrightAnyo" => "2010" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Actas Dermosifiliogr. 2011;102:474-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 7999 "formatos" => array:3 [ "EPUB" => 54 "HTML" => 5624 "PDF" => 2321 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S000173101100072X" "issn" => "00017310" "doi" => "10.1016/j.ad.2010.09.014" "estado" => "S300" "fechaPublicacion" => "2011-07-01" "aid" => "347" "copyright" => "Elsevier España, S.L. y AEDV" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Actas Dermosifiliogr. 2011;102:474-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 6651 "formatos" => array:3 [ "EPUB" => 1 "HTML" => 4647 "PDF" => 2003 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta científico-clínica</span>" "titulo" => "Exostosis de Turret: osteocondroma adquirido" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "474" "paginaFinal" => "475" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Turret Exostosis or Acquired Osteochondroma" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1423 "Ancho" => 750 "Tamanyo" => 268070 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A y B. Hallazgos histopatológicos; tinción hematoxilina-eosina: la superficie de la lesión exhibe una cápsula osteocartilaginosa madura con signos de osificación encondral en transición con trabéculas de tejido óseo. B. En el espacio intertrabecular se observa tejido fibroso laxo ricamente vascularizado, evidente en la parte inferior de la imagen.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Cañueto, Á. Santos-Briz, M. Yuste-Chaves, G. Nieto, P. Unamuno" "autores" => array:5 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Cañueto" ] 1 => array:2 [ "nombre" => "Á." "apellidos" => "Santos-Briz" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Yuste-Chaves" ] 3 => array:2 [ "nombre" => "G." "apellidos" => "Nieto" ] 4 => array:2 [ "nombre" => "P." "apellidos" => "Unamuno" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1578219011000138" "doi" => "10.1016/j.adengl.2010.09.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219011000138?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S000173101100072X?idApp=UINPBA000044" "url" => "/00017310/0000010200000006/v1_201304241329/S000173101100072X/v1_201304241329/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1578219011000126" "issn" => "15782190" "doi" => "10.1016/j.adengl.2010.10.005" "estado" => "S300" "fechaPublicacion" => "2011-08-01" "aid" => "346" "copyright" => "Elsevier España, S.L. and AEDV" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Actas Dermosifiliogr. 2011;102:475-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 5622 "formatos" => array:3 [ "EPUB" => 38 "HTML" => 4352 "PDF" => 1232 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letter</span>" "titulo" => "Primary Nonessential Cutis Verticis Gyrata" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "475" "paginaFinal" => "476" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Cutis verticis gyrata primaria no esencial" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 754 "Ancho" => 952 "Tamanyo" => 118211 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Clinical image of furrows and folds on the patient's scalp.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "V. López, E. Montesinos, E. Jordá" "autores" => array:3 [ 0 => array:2 [ "nombre" => "V." "apellidos" => "López" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Montesinos" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Jordá" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731011000718" "doi" => "10.1016/j.ad.2010.06.031" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731011000718?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219011000126?idApp=UINPBA000044" "url" => "/15782190/0000010200000006/v1_201304241225/S1578219011000126/v1_201304241225/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1578219011000096" "issn" => "15782190" "doi" => "10.1016/j.adengl.2010.10.003" "estado" => "S300" "fechaPublicacion" => "2011-08-01" "aid" => "339" "copyright" => "Elsevier España, S.L. and AEDV" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Actas Dermosifiliogr. 2011;102:471-3" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 7567 "formatos" => array:3 [ "EPUB" => 63 "HTML" => 6260 "PDF" => 1244 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case And Research Letter</span>" "titulo" => "Concomitant Dermatitis Herpetiformis and Plaque Psoriasis: Possible Skin Manifestations of Celiac disease" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "471" "paginaFinal" => "473" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Coexistencia de dermatitis herpetiforme y psoriasis en placas, ¿dos manifestaciones cutáneas de la enfermedad celiaca?" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 975 "Ancho" => 1300 "Tamanyo" => 187984 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Psoriatic plaques (asterisks) and multiple excoriated vesicles (arrows). The lesions are spread over the extensor surfaces of the legs and arms. A, Right elbow. B, Knees. C, Detail of right knee. D, Detail of right elbow.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Agusti-Mejias, F. Messeguer, R. García-Ruiz, B. de Unamuno, A. Pérez-Ferriols, J.L. Sánchez-Carazo, V. Alegre de Miquel" "autores" => array:7 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Agusti-Mejias" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Messeguer" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "García-Ruiz" ] 3 => array:2 [ "nombre" => "B." "apellidos" => "de Unamuno" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Pérez-Ferriols" ] 5 => array:2 [ "nombre" => "J.L." "apellidos" => "Sánchez-Carazo" ] 6 => array:2 [ "nombre" => "V." "apellidos" => "Alegre de Miquel" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731011000639" "doi" => "10.1016/j.ad.2010.10.019" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731011000639?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219011000096?idApp=UINPBA000044" "url" => "/15782190/0000010200000006/v1_201304241225/S1578219011000096/v1_201304241225/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>" "titulo" => "Turret Exostosis or Acquired Osteochondroma" "tieneTextoCompleto" => true "saludo" => "<span class="elsevierStyleItalic">To the Editor:</span>" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "474" "paginaFinal" => "475" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J. Cañueto, Á. Santos-Briz, M. Yuste-Chaves, G. Nieto, P. Unamuno" "autores" => array:5 [ 0 => array:4 [ "nombre" => "J." "apellidos" => "Cañueto" "email" => array:1 [ 0 => "jcanueto@yahoo.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Á." "apellidos" => "Santos-Briz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "M." "apellidos" => "Yuste-Chaves" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "G." "apellidos" => "Nieto" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "P." "apellidos" => "Unamuno" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Universitario de Salamanca, Salamanca, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital Universitario de Salamanca, Salamanca, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Exostosis de Turret: osteocondroma adquirido" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 750 "Ancho" => 543 "Tamanyo" => 65014 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Clinical features of Turret exostosis on the palmar aspect of the right middle finger of our patient.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Turret exostosis, otherwise known as acquired osteochondroma, is a rare bone disorder originally described by Wissinger et al<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> in 1966 as a smooth, dome-shaped, extracortical mass arising from the dorsum of the middle or proximal phalanges of the fingers; it has, however, also been described in other parts of the body. It is believed to be the result of a reactive process in the bone, triggered by injury, which eventually leads to areas of mature bone formation.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Although Turret exostosis originates in the bone, it can manifest as a subcutaneous nodule. There are few reports of these nodules in the literature and none in dermatology journals.</p><p id="par0010" class="elsevierStylePara elsevierViewall">We describe the case of a 56-year-old woman, with no relevant past history, who consulted her dermatologist due to a nodular lesion that had been progressively growing on 1 of her fingers for 3 months. The lesion measured 1<span class="elsevierStyleHsp" style=""></span>cm in diameter, was slightly pedunculated and indurated on palpation, and the overlying skin was a normal color, although there were some slightly erythematous areas. The nodule was located on the palmar aspect of the middle phalanx of the right middle finger (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Radiography showed a densely radio-opaque, well-circumscribed lesion measuring about 2<span class="elsevierStyleHsp" style=""></span>cm in diameter, separated from the underlying bone.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The lesion was excised and histopathology showed an expansive subepidermal lesion. The surface of the lesion had a mature osteocartilaginous cap and a transitional area with signs of enchondral ossification and bone tissue trabeculae. The trabeculae were covered by a small population of osteoblasts without cytologic atypia. The intertrabecular spaces contained lax, highly vascularized fibrous tissue, and the epidermis showed acanthosis and a thick stratum corneum, consistent with acral skin (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). On the basis of these findings, a diagnosis of Turret exostosis was established. The lesion had not recurred 1 year after excision.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Turret exostosis is currently classified as a rare complication of minor injuries. The underlying mechanism is usually an injury that causes a subperiosteal hematoma. Because the hematoma is unable to drain, it gradually becomes ossified.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,3</span></a> The patient described in this letter does not remember injuring her finger, but she might have done so without noticing.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Also of interest in this case is the fact that the lesion arose from the palmar aspect of the finger as practically all the reports of Turret exostosis of the hands to date, with the exception of a thumb lesion,<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> have described lesions on the dorsal surfaces. As the lesion grows, it normally becomes painful and can restrict movement; there have even been reports of Turret exostosis causing ruptured tendons.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Our patient had no symptoms but decided to visit her dermatologist because she was worried about the size of the lesion.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Radiographically, the lesion appeared as a well-delimited bone mass arising from the cortex of the underlying bone, but with no communication with the medullary canal; this is similar to what is seen in osteochondroma.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> The differential diagnosis should include osteochondroma, juxtacortical chondroma, florid reactive periostitis, bizarre parosteal osteochondromatous proliferation (BPOP) (otherwise known as Nora's lesion), osteosarcoma, and chondrosarcoma.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3,6</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Turret exostosis should not be excised until at least 4 to 6 months after the injury that triggered its development.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Poor surgical techniques and premature excision can cause lesions to recur.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> The overall rate of recurrence of Turret exostosis of the hands is 20%.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Recurring lesions usually appear within 6 months of excision, and they normally present with more irregular calcification than the original lesions.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> In our patient, excision was complete and there has been no recurrence.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Several authors have suggested that Turret exostosis, BPOP, and florid reactive periostitis are part of a spectrum of reactive bone disorders.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,8,9</span></a> Florid reactive periostitis is hypothesized to be the first stage, in which there would be a proliferation of spindle cells with minimal osteocartilaginous growth. With time, the new bone and the cartilaginous metaplasia would become more evident, giving rise to BPOP, and in the final stage, Turret exostosis, this mature bone area would give rise to a bone base with a cartilaginous cap.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a><span class="elsevierStyleSup">,10</span> This hypothesis, which was initially proposed by histopathology experts,<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> has found support in radiography studies and is currently considered the most plausible explanation for these reactive bone processes.</p><p id="par0045" class="elsevierStylePara elsevierViewall">To conclude, we have presented a case of Turret exostosis, a rare entity that should be recognized by dermatologists as it can manifest as a subcutaneous nodule.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Please cite this article as: Cañueto J, et al. Exostosis de Turret: osteocondroma adquirido. Actas Dermosifiliogr. 2011;102:474-475.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 750 "Ancho" => 543 "Tamanyo" => 65014 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Clinical features of Turret exostosis on the palmar aspect of the right middle finger of our patient.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1423 "Ancho" => 750 "Tamanyo" => 269922 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A and B, Histological findings (hematoxylin-eosin staining) showing the surface of the lesion with a mature osteocartilaginous cap and a transitional area with signs of enchondral ossification and bone tissue trabeculae. B, Lax, highly vascularized fibrous tissue in the lower part of the image.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Turret exostosis. Ossifying hematoma of the phalanges" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "H.A. Wissinger" 1 => "E.J. McClain" 2 => "J.H. Boyes" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Bone Joint Surg Am" "fecha" => "1966" "volumen" => "48" "paginaInicial" => "105" "paginaFinal" => "110" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5902796" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nora's lesion, a distinct radiological entity?" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E. Dhondt" 1 => "L. Oudenhoven" 2 => "S. Khan" 3 => "H.M. Kroon" 4 => "P.C. Hogendoorn" 5 => "A. Nieborg" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00256-005-0041-9" "Revista" => array:6 [ "tituloSerie" => "Skeletal Radiol" "fecha" => "2006" "volumen" => "35" "paginaInicial" => "497" "paginaFinal" => "502" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16602017" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Turret exostosis of the hallux" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "V.A. Kontogeorgakos" 1 => "M.G. Lykissas" 2 => "A.N. Mavrodontidis" 3 => "V. Sioros" 4 => "D. Papachristou" 5 => "A.K. Batistatou" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1053/j.jfas.2006.11.006" "Revista" => array:6 [ "tituloSerie" => "J Foot Ankle Surg" "fecha" => "2007" "volumen" => "46" "paginaInicial" => "130" "paginaFinal" => "132" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17331874" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Turret exostosis of the thumb" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P.N. Mohanna" 1 => "N.S. Moiemen" 2 => "J.D. Frame" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1054/bjps.2000.3401" "Revista" => array:6 [ "tituloSerie" => "Br J Plast Surg" "fecha" => "2000" "volumen" => "53" "paginaInicial" => "629" "paginaFinal" => "631" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11000085" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.D. Murphey" 1 => "J.J. Choi" 2 => "M.J. Kransdorf" 3 => "D.J. Flemming" 4 => "F.H. Gannon" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/radiographics.20.5.g00se171407" "Revista" => array:6 [ "tituloSerie" => "Radiographics" "fecha" => "2000" "volumen" => "20" "paginaInicial" => "1407" "paginaFinal" => "1434" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10992031" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bizarre parosteal osteochondromatous proliferation of bone (Nora's lesion)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.F. Meneses" 1 => "K.K. Unni" 2 => "R.G. Swee" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Surg Pathol" "fecha" => "1993" "volumen" => "17" "paginaInicial" => "691" "paginaFinal" => "697" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8317609" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bizarre parosteal osteochondromatous proliferation of bone" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S. Bandiera" 1 => "P. Bacchini" 2 => "F. Bertoni" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Skeletal Radiol" "fecha" => "1998" "volumen" => "27" "paginaInicial" => "154" "paginaFinal" => "156" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9554006" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bizarre parosteal osteochondromatous proliferation (Nora's lesion): a retrospective study of 12 cases, 2 arising in long bones" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "L. Abramovici" 1 => "G.C. Steiner" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1053/hupa.2002.130103" "Revista" => array:6 [ "tituloSerie" => "Hum Pathol" "fecha" => "2002" "volumen" => "33" "paginaInicial" => "1205" "paginaFinal" => "1210" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12514790" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Proliferative periosteal processes of phalanges: a unitary hypothesis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M. Yuen" 1 => "L. Friedman" 2 => "W. Orr" 3 => "W.P. Cockshott" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Skeletal Radiol" "fecha" => "1992" "volumen" => "21" "paginaInicial" => "301" "paginaFinal" => "303" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1502582" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010200000006/v1_201304241225/S1578219011000138/v1_201304241225/en/main.assets" "Apartado" => array:4 [ "identificador" => "6157" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Case and Research Letters" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010200000006/v1_201304241225/S1578219011000138/v1_201304241225/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219011000138?idApp=UINPBA000044" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 33 | 10 | 43 |
| 2024 Octubre | 238 | 82 | 320 |
| 2024 Septiembre | 248 | 57 | 305 |
| 2024 Agosto | 299 | 80 | 379 |
| 2024 Julio | 225 | 76 | 301 |
| 2024 Junio | 194 | 63 | 257 |
| 2024 Mayo | 279 | 69 | 348 |
| 2024 Abril | 203 | 44 | 247 |
| 2024 Marzo | 197 | 36 | 233 |
| 2024 Febrero | 195 | 51 | 246 |
| 2024 Enero | 188 | 43 | 231 |
| 2023 Diciembre | 168 | 38 | 206 |
| 2023 Noviembre | 155 | 43 | 198 |
| 2023 Octubre | 220 | 47 | 267 |
| 2023 Septiembre | 182 | 60 | 242 |
| 2023 Agosto | 135 | 30 | 165 |
| 2023 Julio | 162 | 60 | 222 |
| 2023 Junio | 167 | 48 | 215 |
| 2023 Mayo | 354 | 59 | 413 |
| 2023 Abril | 172 | 42 | 214 |
| 2023 Marzo | 174 | 43 | 217 |
| 2023 Febrero | 148 | 44 | 192 |
| 2023 Enero | 158 | 46 | 204 |
| 2022 Diciembre | 132 | 52 | 184 |
| 2022 Noviembre | 83 | 38 | 121 |
| 2022 Octubre | 81 | 34 | 115 |
| 2022 Septiembre | 67 | 39 | 106 |
| 2022 Agosto | 57 | 35 | 92 |
| 2022 Julio | 74 | 40 | 114 |
| 2022 Junio | 35 | 38 | 73 |
| 2022 Mayo | 135 | 60 | 195 |
| 2022 Abril | 149 | 40 | 189 |
| 2022 Marzo | 158 | 66 | 224 |
| 2022 Febrero | 95 | 26 | 121 |
| 2022 Enero | 142 | 45 | 187 |
| 2021 Diciembre | 136 | 41 | 177 |
| 2021 Noviembre | 162 | 50 | 212 |
| 2021 Octubre | 129 | 74 | 203 |
| 2021 Septiembre | 118 | 57 | 175 |
| 2021 Agosto | 162 | 51 | 213 |
| 2021 Julio | 77 | 59 | 136 |
| 2021 Junio | 70 | 41 | 111 |
| 2021 Mayo | 86 | 44 | 130 |
| 2021 Abril | 178 | 74 | 252 |
| 2021 Marzo | 118 | 28 | 146 |
| 2021 Febrero | 111 | 32 | 143 |
| 2021 Enero | 71 | 24 | 95 |
| 2020 Diciembre | 80 | 27 | 107 |
| 2020 Noviembre | 53 | 16 | 69 |
| 2020 Octubre | 49 | 5 | 54 |
| 2020 Septiembre | 54 | 17 | 71 |
| 2020 Agosto | 52 | 25 | 77 |
| 2020 Julio | 47 | 27 | 74 |
| 2020 Junio | 43 | 31 | 74 |
| 2020 Mayo | 35 | 34 | 69 |
| 2020 Abril | 30 | 30 | 60 |
| 2020 Marzo | 54 | 13 | 67 |
| 2020 Febrero | 10 | 5 | 15 |
| 2020 Enero | 4 | 9 | 13 |
| 2019 Diciembre | 8 | 10 | 18 |
| 2019 Noviembre | 4 | 5 | 9 |
| 2019 Octubre | 0 | 14 | 14 |
| 2019 Septiembre | 12 | 19 | 31 |
| 2019 Agosto | 4 | 9 | 13 |
| 2019 Julio | 2 | 16 | 18 |
| 2019 Junio | 6 | 53 | 59 |
| 2019 Mayo | 2 | 182 | 184 |
| 2019 Abril | 0 | 70 | 70 |
| 2019 Marzo | 2 | 31 | 33 |
| 2019 Febrero | 0 | 27 | 27 |
| 2019 Enero | 3 | 14 | 17 |
| 2018 Diciembre | 1 | 4 | 5 |
| 2018 Noviembre | 2 | 0 | 2 |
| 2018 Octubre | 15 | 2 | 17 |
| 2018 Septiembre | 5 | 15 | 20 |
| 2018 Agosto | 0 | 35 | 35 |
| 2018 Julio | 0 | 19 | 19 |
| 2018 Junio | 0 | 24 | 24 |
| 2018 Mayo | 0 | 31 | 31 |
| 2018 Abril | 0 | 40 | 40 |
| 2018 Marzo | 3 | 27 | 30 |
| 2018 Febrero | 123 | 31 | 154 |
| 2018 Enero | 135 | 29 | 164 |
| 2017 Diciembre | 153 | 23 | 176 |
| 2017 Noviembre | 112 | 40 | 152 |
| 2017 Octubre | 72 | 40 | 112 |
| 2017 Septiembre | 93 | 33 | 126 |
| 2017 Agosto | 106 | 29 | 135 |
| 2017 Julio | 99 | 46 | 145 |
| 2017 Junio | 161 | 32 | 193 |
| 2017 Mayo | 165 | 17 | 182 |
| 2017 Abril | 166 | 37 | 203 |
| 2017 Marzo | 152 | 33 | 185 |
| 2017 Febrero | 115 | 41 | 156 |
| 2017 Enero | 87 | 34 | 121 |
| 2016 Diciembre | 152 | 21 | 173 |
| 2016 Noviembre | 201 | 37 | 238 |
| 2016 Octubre | 187 | 39 | 226 |
| 2016 Septiembre | 173 | 21 | 194 |
| 2016 Agosto | 139 | 26 | 165 |
| 2016 Julio | 98 | 21 | 119 |
| 2016 Junio | 16 | 8 | 24 |
| 2016 Mayo | 14 | 11 | 25 |
| 2016 Abril | 13 | 33 | 46 |
| 2016 Marzo | 13 | 22 | 35 |
| 2016 Febrero | 7 | 19 | 26 |
| 2016 Enero | 9 | 32 | 41 |
| 2015 Diciembre | 9 | 17 | 26 |
| 2015 Noviembre | 10 | 1 | 11 |
| 2015 Octubre | 13 | 19 | 32 |
| 2015 Septiembre | 4 | 3 | 7 |
| 2015 Agosto | 15 | 10 | 25 |
| 2015 Julio | 170 | 22 | 192 |
| 2015 Junio | 128 | 14 | 142 |
| 2015 Mayo | 146 | 34 | 180 |
| 2015 Abril | 114 | 16 | 130 |
| 2015 Marzo | 105 | 9 | 114 |
| 2015 Febrero | 131 | 12 | 143 |
| 2015 Enero | 128 | 12 | 140 |
| 2014 Diciembre | 108 | 15 | 123 |
| 2014 Noviembre | 92 | 15 | 107 |
| 2014 Octubre | 96 | 14 | 110 |
| 2014 Septiembre | 75 | 25 | 100 |
| 2014 Agosto | 89 | 21 | 110 |
| 2014 Julio | 101 | 25 | 126 |
| 2014 Junio | 110 | 15 | 125 |
| 2014 Mayo | 123 | 24 | 147 |
| 2014 Abril | 97 | 13 | 110 |
| 2014 Marzo | 114 | 32 | 146 |
| 2014 Febrero | 82 | 35 | 117 |
| 2014 Enero | 105 | 39 | 144 |
| 2013 Diciembre | 103 | 29 | 132 |
| 2013 Noviembre | 82 | 40 | 122 |
| 2013 Octubre | 76 | 33 | 109 |
| 2013 Septiembre | 83 | 47 | 130 |
| 2013 Agosto | 65 | 41 | 106 |
| 2013 Julio | 75 | 63 | 138 |
| 2013 Junio | 12 | 56 | 68 |
| 2013 Mayo | 13 | 37 | 50 |
| 2013 Abril | 14 | 52 | 66 |
| 2013 Marzo | 11 | 24 | 35 |
| 2013 Febrero | 30 | 20 | 50 |
| 2013 Enero | 41 | 12 | 53 |
| 2012 Diciembre | 17 | 7 | 24 |
| 2012 Noviembre | 1 | 0 | 1 |
| 2012 Octubre | 0 | 1 | 1 |
| 2012 Agosto | 0 | 1 | 1 |
Mostrar todo
