Osteomyelitis - terminal tuft
Index finger pain, history of trauma with foreign body in the index a month ago
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Erosion of the terminal tuft of the right index.
Soft tissue swelling of the index finger compared with other digits.
The finger was draped for weeks for a non-healing "oozing" wound.
Findings probably represent osteomyelitis of the distal phalanx secondary to traumatic inflammatory changes. Other differentials include post-traumatic acro-osteolysis or implantation dermoid.