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case_images: Radiograph July 2022, osteolysis of the third metacarpal head with sclerosis.
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case_images: The radiograph revealed osteolysis of the third metacarpal head with sclerosis (Figure 1).
case_images: First MRI, July 2022. Subchondral fracture of the distal epiphysis of the third metacarpal head, with probable avascular necrosis and preserved viability in T1 weighted images.
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case_images: An MRI study confirms subchondral fracture of the distal epiphysis of the third metacarpal head, with probable avascular necrosis and preserved viability (Figures 2 and 3).
case_images: First MRI, July 2022. Subchondral fracture of the distal epiphysis of the third metacarpal head, with probable avascular necrosis and preserved viability in T1 weighted images.
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case_images: An MRI study confirms subchondral fracture of the distal epiphysis of the third metacarpal head, with probable avascular necrosis and preserved viability (Figures 2 and 3).
case_images: Second MRI, October 2022, vascularization seems preserved in T2 weighted images.
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case_images: The MRI study noted a decrease in oedema of the distal epiphysis, vascularisation seems preserved and there is a slight loss of head sphericity compared to previous examination (Figure 4).
case_images: Third MRI January 2023. Apparition of signal abnormality of the fourth metacarpal head in the MRI T1 weighted images.
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case_images: AND the apparition of signal abnormality of the fourth metacarpal head (Figures 5 and 6). An additional treatment of aspirin 80 mg once daily was proposed but refused by the parents.
case_images: Third MRI January 2023. Apparition of signal abnormality of the fourth metacarpal head in the MRI T1 weighted images.
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case_images: AND the apparition of signal abnormality of the fourth metacarpal head (Figures 5 and 6). An additional treatment of aspirin 80 mg once daily was proposed but refused by the parents.
case_images: MRI April 2023. Normalization of the abnormalities, in T1 weighted images.
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case_images: Also, there is a regression of the subchondral abnormalities of the fourth metacarpal head (Figure 7).