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April 20, 1970

Destructive Lesion of the Proximal Radius

Author Affiliations

From the weekly X-ray Seminar, Department of Radiology, Massachusetts General Hospital, Boston.

JAMA. 1970;212(3):464-465. doi:10.1001/jama.1970.03170160054010

Dr. Spencer Borden IV: The patient is a 63-year-old woman, a housewife, who had been in excellent health until she fell on her left wrist 17 months prior to admission here. Roentgenograms taken at that time were said to be normal. Since then she has noted intermittent aching in the wrist and distal forearm with heavy use. The aching has increased over the past two months. Additional roentgenograms were abnormal (Figure), and she was admitted for further observation.

Discussion  Dr. Laurence L. Robbins: Dr. Weiner, would you discuss this case, please?Dr. Milton A. Weiner: There is an obvious destructive lesion in the proximal shaft of the radius. It also involves the radial head which is fractured. The lesion has irregularly eroded the cortex and produced a slight, nonhomogeneous periosteal reaction laterally. The bone is minimally expanded along its volar aspect, but I see no soft-tissue mass or joint effusion.