Synovitis of metacarpo-phalangeal joint

Case contributed by Dr Maulik S Patel

Presentation

H/O penetrating injury to dorsum of 3rd MCP joint by ? thorn. F/B local pain and swelling.

Patient Data

Age: about 40 yrs
Gender: Female
Modality: X-ray

No bony abnormality.

Modality: Ultrasound

Synovial thickening is noted involving 3rd metacarpo-phalangeal joint along with mild effusion.

Hypervascularity is noted in the thickened synovium - Synovitis of 3rd metacarpo-phalangeal joint.

An echogenic focus is noted embedded in synovium on dorsal - ulnar aspect; at neck of 3rd metacarpus. Size is 1 mm only - ? Foreign body embedded in synovium.

No flexure / extensor tendon tenosynovitis or tear is noted.

No bone erosion is noted.

An ossilce is noted near joint.

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Case Information

rID: 20548
Case created: 25th Nov 2012
Last edited: 18th Dec 2015
Inclusion in quiz mode: Included

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