Enchondroma and lipoma in and about the first metacarpal

Discussion:

The 1st digit is the least common ray to find an enchondroma in the hand, and lipomas of the hand are likely equally rare. Having both in a similar location is simply bizzare and entertaining (to the radiologist), especially when throwing lunotriquetral coalition into the mix.

 

Case courtesy of Dr. Deborah Forrester

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