Foreign body induced synovitis

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Wood splinter injury on hand since 2 months. O/E - 3rd MCP joint region swelling on dorsal aspect.

Patient Data

Gender: Male
x-ray

X-rays are unremarkable.

ultrasound

Multiple linear echogenic foci are noted in 3rd MCP joint. Synovial thickening is present with hyperemia. 2 mm focus within synovium on palmar side. Echoes are noted in effusion.  Free movement of foreign bodies on traction

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