, Volume 468, Issue 3, pp 917-920
Date: 12 Jun 2009

Orthopaedic · Radiology · Pathology Conference: Painful Palmar Mass in a 36-year-old Woman

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History and Physical Examination

A 36-year-old right-hand-dominant woman presented with a 2-month history of intermittent sharp stabbing pain in the left palm. She denied any history of distinct trauma or infection in the area. She was active as a college Frisbee coach and played golf recreationally. Severe pain occurred only when playing Frisbee or golf or during handshaking. The patient denied pain at night. On inspection of the hand, there was no visible mass or deformity. Physical examination of the hand revealed firmness in the palm at the base of the third metacarpal. This area was locally tender to palpation, and pressure applied to this area reproduced the patient’s painful symptoms. There were no skin changes overlying the affected area. Motor and sensory function were preserved in median, radial, and ulnar nerves. Two-point discrimination was preserved distally at the fingertips. The patient had full range of motion at the wrist and in the metacarpophalangeal joints and interp

Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.
Each author certifies that his or her institution has approved the reporting of this case report and that all investigations were conducted in conformity with ethical principles of research.
This work was performed at Wake Forest University Baptist Medical Center.