Bones Of Right Hand Research Articles

Presentation of melorheostosis with pain and swelling of the hand bones: A case report and review of literature

Melorheostosis is a rare disease also known as Leri disease with about 400 cases in the world with unknown etiology although relations with mitogen-activated protein kinase 1 gene and LEM domain-containing protein 3 gene mutations are described. We presented a case of melorheostosis referred to the rheumatology clinic with pain and swelling in the middle phalanx of the index finger and second metacarpal bone of right hand. X-ray of the hand showed a hyperdense lesions in the hand bones with obliteration of the medulla. Right hand magnetic resonance imaging showed signal loss of bone marrow in the second metacarpal bone and middle phalanx of the index finger along with severe periosteal edema. Bone biopsy confirmed melorheostosis.

Lesion with blue bone-a case report

Bizzare parosteal osteochondromatous proliferation, or Nora‘s lesion is a unique bone lesion that most often arises in the small bones of hands and feet. It is characterised by proliferation of chondroid, bony and fibrous tissue, and is occasionally misdiagnosed as a malignant process. Our case was a 31 yr old lady, who presented with a painless swelling near the 5th metacarpal bone of right hand. X-ray showed well marginated mineralised mass arising from the cortical surface of the metacarpal bone. Histopathological examination revealed bizarre parosteal osteochondromatous proliferation composed of varying amounts of cartilage, bone and spindle cells. Cartilage was hypercellular and chondrocytes were enlarged. Ossification was irregular and had a peculiar blue tinctorial quality.

Ewings sarcoma of 4th metacarpal bone of right hand, a rare case report

Ewings sarcoma of the hand is relatively rare. Ewings sarcoma can present with minimal pain and swelling of the affected digit. The Erythrocyte sedimentation rate and C-reactive protein may be high. Because of these features, this can be confused with an inflammatory lesion. This leads to starting of inappropriate treatment and delay in diagnosis. Radiologically, Ewings sarcoma can present with a plethora of features from permeative bone destruction to expansile lesions with or without periosteal reaction. We present a case of 10 year old male, with complaints of pain and swelling in right hand, which on X-ray showed periosteal reaction, giving a sun burst appearance. So the provisional diagnosis of osteosarcoma was made. The diagnosis of ewings sarcoma was made on FNAC [fine needle aspiration cytology] which was later on confirmed on histopathology. We intend to report this case, because it is very rare location and the radiological features can mimic other lesions which commonly occur in this location like chronic osteomyelitis, osteosarcoma so it can be easily missed especially at preliminary evaluations.

Compound Fracture of Third Metacarpal Bone of Right Hand, the Result of a Direct Pick-Stroke

Compound Fracture of Third Metacarpal Bone of Right Hand, the Result of a Direct Pick-Stroke