Synostosis of proximal phalangeal bases for loss of distal m
A 35 years old male patient presented with a lump on the dorsum of the right hand of 8 months duration. The swelling recurred twice after the previous excision. The histopathological diagnosis was a giant cell tumor. After the second recurrence, he was offered amputation, through the wrist by the first surgeon and an onco surgeon as well. Patient sought online consultation in the USA and the UK. The suggestion was for ray amputation. On presentation, there was swelling on the dorsum of the hand [Figure 1]. X-ray showed a thin shadow of subchondral bony rim of the third metacarpal head [Figure 2]....

http://www.ijoonline.com/article.asp?issn=0019-5413;year=2016;volume=50;issue=6;spage=689;epage=692;aulast=Jindal
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