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Wheeless' Textbook of Orthopaedics
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Transient Phalangeal Osteolysis (Microgeodic Disease)


- Discussion:
    - condition which is associated with swelling, erythema, and pain in fingers;
          - the middle phalanx is affect most often (distal phalanx rarely involved);
    - most often affects children but can affect adults;
    - condition may be more common during the winter months;
    - radiographs of fingers may show rarefication and small radiolucent spots
            in the metaphyseal region, sclerosis, and bone widening;
            - usually does not show periostitis;
    - natural history is most often benign and symptoms improve within 2 months;

- Diff Dx:
    - tuberculous osteitis
    - sarcoidosis



Transient Phalangeal Osteolysis (Microgeodic Disease)
      K. Sato MD, H. Sugiura MD, and M. Aoki MD.
      JBJS. Vol, 77-A No. 12 Dec. 1995.








Original Text by Clifford R. Wheeless, III, MD.