Cone-shaped epiphysis

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Pain over right wrist and little finger post fall.

Patient Data

Age: 12 years
Gender: Female
x-ray

No acute fracture or traumatic malalignment identified.

Cone-shaped epiphysis of the fifth finger middle phalanx.

Case Discussion

The cone-shaped epiphysis was thought to be an incidental anatomical variant given it is an isolated finding. They can also be associated with skeletal dysplasia.

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