79-year-old female with pain at the base of her left thumb & no trauma

Diagnosis: This x-ray shows a suspicious line at the base of MC1, which could be a fracture. The fact that there is no history of trauma does not rule this out, because it may be a pathological fracture. The whole area around the base of MC1 is very ragged (arrows) and is consistent with osteomyelitis. This patient should have an immediate workup to rule out osteomyelitis.

Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.

[taq_review]

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services