Joint Program in Nuclear Medicine

Persistent Pain and Swelling of a Distal Digit

Presentation

A 35 year-old male chef presented after ten months of persistent pain and swelling of the distal right fifth digit; the onset occurred soon after he cut the finger at work. Various non-steroidal anti-inflammatory agents did little to relieve his symptoms. Physical exam revealed a swollen, tender area in the region of the middle phalanx of the right fifth digit.

Images

Blood pool phase
Plain radiograph
Bone scintigraphy

Description of Findings

Full case report

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J. Anthony Parker, MD PhD, Tony_Parker@bidmc.harvard.edu