Aneurysmal Bone Cyst in a Phalanx of a Toe
A 25-year-old male presented to his general practitioner with pain and swelling in his left first toe. The condition was first treated as a ligament injury. Furthermore, gout was suspected and the patient was administered pain killers for a period.

After ten months without signs of improvement the patient was seen by a rheumatologist, who performed an ultrasonic examination revealing cystic processes in the distal phalanx of the toe and cystic processes in the subcutaneous tissue surrounding the distal phalanx. Ultrasound also showed increased blood flow in the area.

The patient was then referred to the orthopaedic department. Physical examination revealed swelling of the left first toe to approximately twice the size of the patient’s right first toe.

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