A 5½-year-old girl who had been in excellent health had a one-month history of painless growth of the proximal phalanx of the second finger of the left hand. The parents of the child noted slight enlargement of the phalanx two years previously; however, in the month prior to presentation the growth increased. There was no history of trauma or infection.
Physical examination showed a well-developed young girl who was short for her chronological age of 5½ years. Enlargement of the second left proximal phalanx was noted. There was no soft-tissue swelling, redness, or induration, and the remainder of the examination was normal. Laboratory values were normal. An anteroposterior roentgenogram of the patient's hands was obtained (Figure). Subsequent roentgenographic survey of the other bones showed lesser involvement of the phalanges and metatarsi of the left foot. The remainder of the bones were normal.
Denouement and Discussion
Posteroanterior views of both hands
Young LW, Mitnick J, Mitnick H, Genieser NB. Radiological Case of the Month. Am J Dis Child. 1979;133(12):1277–1278. doi:10.1001/archpedi.1979.02130120069013
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