{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:40Z","timestamp":1787755360079,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 51-year-old woman with a medical history noteworthy for endometrioid ovarian carcinoma presented with progressive left thumb swelling in the absence of trauma or injury. Radiographs revealed a lytic lesion in the distal phalanx. Inflammatory markers and white blood-cell count were mildly elevated. The thumb was amputated at the interphalangeal joint, and pathologic examination identified the lesion as an adenocarcinoma, consistent with the known endometrioid ovarian carcinoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The similar presentation of tumor and infection can present a diagnostic challenge. Despite the rare incidence of osseous metastases to the hand, orthopaedic surgeons must consider metastatic bone lesions in patients presenting with swollen or painful fingers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.16.00261","type":"journal-article","created":{"date-parts":[[2017,7,25]],"date-time":"2017-07-25T15:42:16Z","timestamp":1500997336000},"page":"e50-e50","source":"Crossref","is-referenced-by-count":3,"title":["Pathologic Tuft Fracture in a Thumb: A Rare Presentation of Metastatic Endometrioid Ovarian Carcinoma"],"prefix":"10.2106","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4183-9123","authenticated-orcid":false,"given":"David P.","family":"Falk","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, George Washington University Hospital, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Scully","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, George Washington University Hospital, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Moss","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, George Washington University Medical Faculty Associates, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Shaffer","sequence":"additional","affiliation":[{"name":"Department of Pathology, Sibley Memorial Hospital, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,7,26]]},"reference":[{"issue":"5","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1016\/j.jhsa.2014.01.016","article-title":"Metastases to the hand and wrist: an analysis of 221 cases","volume":"39","author":"Afshar","year":"2014","journal-title":"J Hand Surg 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