Swelling on dorsal aspect of hand - Few wks. H/O trauma. O/E - Swelling overlying 3rd - 4th metacarpal distal shaft region - on dorsal aspect of hand. Radiograph of hand - No fracture.
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Collection with mobile echoes is noted on palmer as well as dorsal side of hand.
Communicating tract passes between 3rd and 4th metacarpal bones.
A linear echogenic focus ( 28 mm longth , 1 - 2 mm thick ) is noted within collection on palmer aspect.
Findings of hand abscess due to foreign body which looks like a thorn / wood splinter.