Abstract
Two cases of microgeodic disease are reported herein.
Case 1, A 9-year-old boy visited our hospital for the pain and swelling of his right index finger. Radiological examination revealed a small, rounded cystic change with perifocal sclerosis in the middle phalanx. The antibiotic drugs were given as a suspected case of osteomyelitis for two months. After that the pain swelling decreased. However, considering that there were few inflammatory signs and symptoms in clinical and laboratory findings and the course of the disease in this case was different from that of typical osteomyelitis, this case should be diagnosed microgeodic disease.
Case 2, 7-year-old boy was seen on account of the swelling and local heat of his left index finger. X-ray picture showed the atrophy of the trabeculae of middle phalanx. Under the diagnosis of the microgeodic disease the course of disease was observed without medication. A month leter, swelling and pain disappear. But two months after onset he visited our clinic with the deformity of the index finger. Radiologically a fracture of the middle phalanx was seen, which was treated by splint fixation.
This is probably the first report of the microgeodic disease combined with a pathological fracture.
