53yoF plain film finger. help please. Prior trauma.

53 y/oF had a fractured second finger in 2014. I don’t know which bone but
suspect it was the distal phalanx. Now with history of swelling and pain.
What do you think is most likely?

Please reply to me and I’ll summarize and send out. (please don’t reply
all).

Here are 2 interesting possibilities that I came across. I like to include
references sometimes in my reports.I gave these as likely differentials.

1. journals.sagepub.com/doi/full/10.1177/2309499016684096
2. www.ajronline.org/doi/pdfplus/10.2214/ajr.147.4.739

[image: 53yofintraossepidermoidorglomus1.jpg]
[image: 53yofintraossepidermoidorglomus3.jpg]
[image: 53yofintraossepidermoidorglomus2.jpg]

I believe sometimes that the likelihood that a reference is included is
inversely proportional to the degree of confidence in a specific diagnosis.
🙂