case_images: PMC3336231_01
case_images: Plain radiographs showing little cortical hyperdensity of right hand fourthmetacarpal.
case_images: CRIM.ID2011-674820.001.jpg
case_images: PMC3336231_01_CRIM.ID2011-674820.001.jpg
case_images: fig1
case_images: Plain radiographs showed hyperdensity of the forth metacarpal (Figure 1).
case_images: Scintigraphy showing 4th metacarpal and surrounding soft tissue hypercaptation.
case_images: CRIM.ID2011-674820.002.jpg
case_images: PMC3336231_01_CRIM.ID2011-674820.002.jpg
case_images: fig2
case_images: A radionuclide 99mTc bone scan showed increased uptake in the forth metacarpal (Figure 2), whereas magnetic resonance images (M.R.I.) showed cortical destruction, diaphyseal and physeal involvement, and adjacent soft tissue oedema (Figure 3), all this consistent with osteomyelitis. 
case_images: MRI findings, diaphyseal and physeal destruction, and bone oedema and soft tissue oedema.
case_images: CRIM.ID2011-674820.003.jpg
case_images: PMC3336231_01_CRIM.ID2011-674820.003.jpg
case_images: fig3
case_images: A radionuclide 99mTc bone scan showed increased uptake in the forth metacarpal (Figure 2), whereas magnetic resonance images (M.R.I.) showed cortical destruction, diaphyseal and physeal involvement, and adjacent soft tissue oedema (Figure 3), all this consistent with osteomyelitis. 
case_images: 3-year posttreatment radiographs showing discrete shortening of the right hand fourth metacarpal.
case_images: CRIM.ID2011-674820.004.jpg
case_images: PMC3336231_01_CRIM.ID2011-674820.004.jpg
case_images: fig4
case_images: In review at three years later, radiological examination showed a discrete shortening of forth metacarpal, probably caused by the physeal spread of infection, but with complete function of the hand (Figure 4). 