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Automated Joint Space Detection Improves Bone Segmentation Accuracy

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A relapsing macrodactyly.

Mélody Amouyel-Castier¹, Vincent Goëb, Hervé Deramond

¹Department of Radiology, University Picardie Jules Verne, Place Victor Pauchet, Amiens, 80054, France, melody.castier@gmail.com.

Clinical Rheumatology

|April 2, 2014

Summary

This summary is machine-generated.

Lipofibromatous hamartoma, a rare benign tumor, caused acquired macrodactyly and median nerve issues in a 61-year-old. Diagnosis was confirmed via imaging, revealing fatty infiltration of the median nerve.

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Area of Science:

Orthopedic Surgery
Neurology
Pathology

Background:

Lipofibromatous hamartoma is a rare, benign tumor often misdiagnosed.
It typically presents in childhood but can manifest later in life.

Observation:

A 61-year-old patient presented with acquired, painful macrodactyly of the left thumb and median nerve paresthesia.
Clinical examination revealed a wrist tumefaction.
A history of forefinger amputation for macrodactyly without diagnosis was noted.

Findings:

Radiographs showed hypertrophic bone structures.
Ultrasound revealed a hypertrophic left median nerve with fatty infiltration.
Retrospective analysis of prior exams suggested lipofibromatous hamartoma in the amputated index finger.

Implications:

This case highlights the potential for late diagnosis of lipofibromatous hamartoma.
It underscores the association between lipofibromatous hamartoma, macrodactyly, and median nerve compromise.
The controversial nature of treatment for this rare pathology warrants further investigation.