{"id":16370,"date":"2025-06-11T12:23:19","date_gmt":"2025-06-11T11:23:19","guid":{"rendered":"https:\/\/hallmarq.net\/case-studies\/osseous-cyst-like-lesion-of-the-middle-phalanx\/"},"modified":"2025-07-09T13:33:18","modified_gmt":"2025-07-09T12:33:18","slug":"osseous-cyst-like-lesion-of-the-middle-phalanx","status":"publish","type":"studies","link":"https:\/\/hallmarq.net\/us\/case-studies\/osseous-cyst-like-lesion-of-the-middle-phalanx\/","title":{"rendered":"Osseous Cyst-Like Lesion of the Middle Phalanx"},"content":{"rendered":"\n

History<\/h2>\n\n\n\n

A horse presented with right forelimb lameness, which improved following a palmar digital nerve block. Radiographs revealed a small lytic lesion at the proximomedial aspect of the middle phalanx, although the clinical relevance of this finding was uncertain. The horse also showed a positive response to intra-articular anesthesia of the distal interphalangeal (coffin) joint. The joint was treated with corticosteroids, but the lameness persisted despite two weeks of rest.<\/p>\n\n\n\n

MRI Findings<\/h2>\n\n\n\n

Alongside other findings, standing MRI<\/a> revealed an osseous cyst-like lesion in the dorsal aspect of the medial glenoid cavity of the middle phalanx (Figs 1, 2A and 2B), with a small communication towards the articular surface of the proximal interphalangeal joint. There was mild surrounding STIR hyperintensity, consistent with bone edema-like signal.<\/p>\n\n\n

\n
\"T1W
Figure 1:  T1W frontal MRI image (lateral to the left) showing the osseous cyst-like lesion in the medial glenoid of the middle phalanx.<\/figcaption><\/figure>\n<\/div>\n\n\n
\n
\n
\"STIR
Figure 2A: STIR iNAV frontal MRI image.<\/figcaption><\/figure>\n<\/div><\/div>\n\n\n\n
\n
\"STIR
Figure 2B: STIR transverse MRI image (lateral to the left)<\/figcaption><\/figure>\n<\/div><\/div>\n<\/div>\n\n\n\n

Both images show bone edema-like signal in the medial glenoid of the middle phalanx.<\/p>\n\n\n\n

CT Findings<\/h2>\n\n\n\n

A CT scan using Hallmarq\u2019s Vision CT<\/a> provided a clear visualization of the cyst-like lesion and the associated indentation in the articular surface.<\/p>\n\n\n

\n
\"3D
Figure 3: 3D reconstructed CT image showing the osseous cyst-like lesion in the medial glenoid of the middle phalanx, with a small communication to the articular surface.<\/figcaption><\/figure>\n<\/div>\n\n\n

Conclusion<\/h2>\n\n\n\n

The combination of standing MRI and Vision CT provided a thorough assessment of the pathology. MRI revealed the bone edema-like signal, while CT offered detailed structural information and clear characterization of the cystic lesion. This case highlights how combining both modalities allows for a more comprehensive evaluation and supports a more accurate prognosis.<\/p>\n\n\n\n

With thanks to Christine Svanholm, H\u00e4stklinik Florian L AB<\/a>, Sweden, for sharing this case with us.<\/p>\n","protected":false},"excerpt":{"rendered":"

Osseous cyst-like lesions of the middle phalanx can be diagnosed with a combination of standing MRI and Vision CT to provide a thorough assessment of the pathology. MRI reveals the bone oedema-like signal, while CT offers detailed structural information and clear characterisation of the cystic lesion. This case highlights how combining both modalities allows for a more comprehensive evaluation and supports a more accurate prognosis.<\/p>\n","protected":false},"author":2,"featured_media":13385,"parent":0,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"_uag_custom_page_level_css":"","footnotes":""},"studies_category":[122,120],"class_list":["post-16370","studies","type-studies","status-publish","has-post-thumbnail","hentry","studies_category-equine-ct-us","studies_category-equine-mri-us"],"acf":[],"yoast_head":"\nOsseous Cyst-Like Lesion of the Middle Phalanx - Hallmarq Veterinary Imaging<\/title>\n<meta name=\"description\" content=\"Osseous cyst-like lesions of the middle phalanx can be diagnosed with a combination of standing MRI and Vision CT to provide a thorough assessment of the pathology. MRI reveals the bone oedema-like signal, while CT offers detailed structural information and clear characterisation of the cystic lesion. 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Horner","author_link":"https:\/\/hallmarq.net\/us\/author\/sara\/"},"uagb_comment_info":0,"uagb_excerpt":"Osseous cyst-like lesions of the middle phalanx can be diagnosed with a combination of standing MRI and Vision CT to provide a thorough assessment of the pathology. 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