PMC3754400_01
Figure 1: Showing swelling at the right hand. Widening of the left wrist is also noticed.
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F1
On examination, a grayish, 5 cm diameter, firm, tender swelling was noted at the mid-palmer aspect of right hand with thick adherent overlying skin, extending dorsally (Fig. 1) There was a pea sized non-tender swelling at the distal phalanx of left index finger and another non-tender swelling at left medial malleolus.
Figure 2: Patient with MS, with deformed, shortened Left upper limb.
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F2
His left upper limb was shortened and deformed (Fig. 2).
Figure 3: Plain radiograph - right hand: showing soft tissue density swelling with multiple phleboliths.
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F3
It resulted in widening of the 2nd inter-metacarpal space, scalloping of radial border of 3rd metacarpal and periosteal reaction along the ulnar border of 3rd metacarpal (Fig. 3).
Figure 4: Plain radiograph - left upper limb: enchondromas involving proximal humerus and distal radius.
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F4
No evidence of periosteal reaction or soft tissue extension was noticed (Fig. 4, 5).
Figure 5: Plain radiograph - left lower limb: enchondromas involving proximal and distal fibula.
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F5
No evidence of periosteal reaction or soft tissue extension was noticed (Fig. 4, 5).