PMC3649198_01
Ultrasound showing a synovial tumour on the dorsal medial aspect of the wrist
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Ultrasound showed a synovial tumour on the dorso-medial aspect of the wrist (Figure 1).
PMC3649198_02
AP Xray of the wrist showing destruction of the ulnar styloid consistent with a bony infection. Soft tissue swelling can also be noted over the dorsum of the wrist
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X ray this time showed destruction of the ulnar styloid consistent with a bony infection (Figure 2).
MRI showing localised destruction around the ulnar head. The MRI also shows thickening around the extensor carpi ulnaris tendon in keeping with marked tenosynovitis at this site.
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MRI showed destruction localised around the ulnar head with oedematous changes extending up the shaft of the ulna (Figure 3).
PMC3649198_03
Post-operative Xray of the wrist showing excision of the ulnar styloid
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The patient agreed to a repeat biopsy and excision of the necrotic bone (Figure 4).
PMC3649198_04