• Sara H Mathov, Jacqueline D Bougie, and Sameh Awad.
• Department of Diagnosis, Southern California University of Health Sciences, Whittier, CA 90604, USA. smdacbr@gmail.com
• J Manipulative Physiol Ther. 2008 Feb 1; 31 (2): 164-7.

ObjectiveThis case describes the history, process of correct diagnosis, and treatment of a patient with pain in her left fourth finger, later found to be an osteosarcoma.Clinical FeaturesA 28-year-old woman presented with pain in her left fourth finger, which she also noticed had been "getting bigger." Moderate tenderness and decreased range of motion were noticed over the metacarpophalangeal joint of the involved finger.Intervention And OutcomeInitial radiographs indicated a benign tumor with a pathological fracture, and the patient was referred to a hand surgeon. After debridement of the area, the pathology report returned with a diagnosis of osteoblastic osteogenic osteosarcoma. The patient then underwent amputation of the fourth ray and chemotherapy.ConclusionThis case presents a rare bone tumor of the hand and highlights the importance of clinical decision-making to lead to appropriate patient care.

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