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Images in emergency medicine
Phantom first metacarpal
  1. G A Demetriou
  1. Correspondence to Dr G A Demetriou, Department of Emergency Medicine, North Middlesex University Hospital, Sterling Way, London N18 1QX, UK; gdemcy{at}

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A 65-year-old man presented with a 1-month history of left hand pain, erythema and swelling over the thenar eminence. He had a history of moderately differentiated squamous cell carcinoma of the oesophagus, T3 N1 and was under oncology.

Left hand x-ray (figure 1) showed complete destruction of …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.