PMC3336231_01
Plain radiographs showing little cortical hyperdensity of right hand fourthmetacarpal.
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Plain radiographs showed hyperdensity of the forth metacarpal (Figure 1).
Scintigraphy showing 4th metacarpal and surrounding soft tissue hypercaptation.
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A radionuclide 99mTc bone scan showed increased uptake in the forth metacarpal (Figure 2), whereas magnetic resonance images (M.R.I.) showed cortical destruction, diaphyseal and physeal involvement, and adjacent soft tissue oedema (Figure 3), all this consistent with osteomyelitis. 
MRI findings, diaphyseal and physeal destruction, and bone oedema and soft tissue oedema.
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A radionuclide 99mTc bone scan showed increased uptake in the forth metacarpal (Figure 2), whereas magnetic resonance images (M.R.I.) showed cortical destruction, diaphyseal and physeal involvement, and adjacent soft tissue oedema (Figure 3), all this consistent with osteomyelitis. 
3-year posttreatment radiographs showing discrete shortening of the right hand fourth metacarpal.
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In review at three years later, radiological examination showed a discrete shortening of forth metacarpal, probably caused by the physeal spread of infection, but with complete function of the hand (Figure 4). 