case_images: PMC4114239_01
case_images: X-ray. Single 12 mm x 4 mm radio-opaque mass (arrow) can be visualized alongside the radial border of the affected joint.
case_images: eplasty14e28_fig1.jpg
case_images: PMC4114239_01_eplasty14e28_fig1.jpg
case_images: F1
case_images: X-ray showed a prominent area of soft tissue calcification projected just dorsolateral to the head of the middle finger metacarpal bone measuring 12 mm x 4 mm in diameter (Fig 1).
case_images: Intraoperative aspect. Single white tophus-like structure was excised. The structure was adjacent to metacarpophalangeal joint, but not penetrating into the joint capsule. Some collateral ligament attachment was observed.
case_images: eplasty14e28_fig2.jpg
case_images: PMC4114239_01_eplasty14e28_fig2.jpg
case_images: F2
case_images: A single gouty tophus like structure was found external to the joint, but infiltrating into the collateral ligaments of the joint (Fig 2).
case_images: Histopathological aspect. There is amorphous calcific material with an infiltrate of neutrophils and macrophages.
case_images: eplasty14e28_fig3.jpg
case_images: PMC4114239_01_eplasty14e28_fig3.jpg
case_images: F3
case_images: In addition, the calcific deposit contained a moderate neutrophilic inflammatory infiltrate (Fig 3).