case_images: PMC4623548_01
case_images: Palmar view of the left thumb before sclerotherapy at the age of 16.
case_images: icrp-2-037-g001.jpg
case_images: PMC4623548_01_icrp-2-037-g001.jpg
case_images: F0001
case_images: A 16-year-old, right-handed female patient presented with a congenital bluish swelling in the pulp of the left thumb (Figure 1).
case_images: A plain radiograph obtained before sclerotherapy shows radiolucent lesions in the distal phalanx of the left thumb.
case_images: icrp-2-037-g002.jpg
case_images: PMC4623548_01_icrp-2-037-g002.jpg
case_images: F0002
case_images: A plain radiograph showed radiolucent lesions in the distal phalanx of the left thumb (Figure 2).
case_images: Coronal contrast-enhanced fat-suppressed T1-weighted MRI image obtained before sclerotherapy shows homogenous hyperintense lesions in the palmar soft tissue and distal phalanx of the left thumb. Abbreviation: MRI = Magnetic resonance imaging.
case_images: icrp-2-037-g003.jpg
case_images: PMC4623548_01_icrp-2-037-g003.jpg
case_images: F0003
case_images: Magnetic resonance imaging (MRI) showed lesions in the palmar soft tissue and the distal phalanx of the left thumb (Figure 3).
case_images: An intraprocedural contrast radiograph shows the flow through intraosseous and soft tissue lesions of the left thumb.
case_images: icrp-2-037-g004.jpg
case_images: PMC4623548_01_icrp-2-037-g004.jpg
case_images: F0004
case_images: Without a tourniquet, direct puncture of the intraosseous lesion was performed with a bone marrow aspiration needle, then water-soluble contrast material was injected under fluoroscopic guidance to confirm the absence of any dangerous venous drainage (Figure 4).
case_images: A plain radiograph at 9 months after the first sclerotherapy shows reduced radiolucent lesions in the distal phalanx of the left thumb.
case_images: icrp-2-037-g005.jpg
case_images: PMC4623548_01_icrp-2-037-g005.jpg
case_images: F0005
case_images: Nine months after the first sclerotherapy, a plain radiograph showed reduced radiolucent lesions in the distal phalanx of the left thumb (Figure 5).
case_images: Palmar view of the left thumb at 2 years after the last sclerotherapy.
case_images: icrp-2-037-g006.jpg
case_images: PMC4623548_01_icrp-2-037-g006.jpg
case_images: F0006
case_images: Two years after the last sclerotherapy, the patient had neither swelling nor pain of the left thumb, with no postoperative complications (Figure 6).