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December 26, 1914

CERTAIN MINUTE CYSTS OF THE METACARPAL BONES FOLLOWING TRAUMA, AND THEIR CLINICAL RECOGNITION

JAMA. 1914;LXIII(26):2272-2273. doi:10.1001/jama.1914.02570260008004

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Abstract

While cysts of the long bones are not infrequently encountered, yet those involving the short bones of the extremities have received little or no attention. I have recently met two examples of pea-sized cysts situated, respectively, in the head and the base of a metacarpal. Both of these immediately followed trauma (contusion of bone); by reason of persistent pain and "wincing" tenderness both would have passed for subperiosteal fracture, although there was no swelling or ecchymosis; there was no enlargement of the bone, and there were no signs of inflammation. It was only by close scrutiny of the roentgenograms that the faint outline of each cyst was detected. Operation gave immediate and complete relief in both cases.

Case 1.  —Miss M. J., aged 61, cook, reported at the Surgical Outpatient Department of the University Hospital (Case Record 40013) March 11, 1914, with the history of an injury, incurred sixteen months

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