Reason: s/p injury to hand, evaluate index MCP joint, pain with extension History: pain Limited study as the patient refused to complete the examination per the technologist memo. Several sequences are also limited due to patient motion artifact. A marker was placed along the dorsal aspect of the second MCP joint. Given the aforementioned limitations, the underlying extensor tendon appears intact. We see no underlying bone or soft tissue injury affecting the MCP joint. There is a small sesamoid bone volar to the second metacarpal head. There is a small focus of signal abnormality within the lateral aspect of the second metacarpal head which may represent a small cyst. We see no frank synovitis. The remainder of the second metacarpal appears normal. The proximal and middle phalanges of the index finger appear normal. There is a fracture through the tuft of the distal phalanx as seen on recent radiographs.
Limited study due to patient motion artifact and refusal to complete the examination which shows no specific findings to account for the patient's symptoms.