Reactive synovitis - third metacarpophalangeal joint

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

Hobbyist using her right hand excessively over the last few weeks. Pain and swelling around 3rd MCP improving with anti-inflammatory medications.

Patient Data

Age: 60 years
Gender: Female

Soft tissue swelling surrounding the 3rd MCP, but no erosions.

Isolated synovitis in the 3rd MCP - note the dramatic increase in blood flow but minimal fluid. No erosion of bone and no other joints involved.

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