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Case Study

Case Study: Synovial Chondromatosis

January 29, 2017
A 66 year old woman presented to our clinic with a swollen, stiff and painful right thumb. On palpation over the painful interphalangeal (IP) joint it was obvious that there were small, hard, tender lumps. An x-ray confirmed soft tissue swelling with multiple, small, bony ossicles related to the joint space (Figure 1). These changes represent a benign condition related to the joint synovium, synovial chondromatosis. Synovial Chondromatosis affects a single joint, most commonly the large joints such as the elbow,...

Metacarpal Shaft Fracture Case Study

July 5, 2016
A 19 year old engineering student was seen at the Emergency Department with right hand pain following an accident while “sea-biscuiting” (in which a person holds onto an inflatable ring which is towed behind a motor boat). Spiral fractures of his 2nd, 3rd and 4th metacarpal bones were identified on x-ray and the patient was placed in a plaster cast and referred for hand therapy. The plaster cast was replaced by a thermoplastic splint after ten days. The hand and forearm...
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