title: Pencil-core granuloma of the distal radio-ulnar joint: an unusual presentation as soft-tissue sarcoma after 45 years.
abstract: A case of pencil-gore granuloma occurring 45 years after he initial injury is described. The clinical and radiological presentation was suggestive of a soft-tissue sarcoma. The diagnosis was confirmed by biopsy, which also revealed foreign body fragments which, on spectometric analysis, had high concentrations of carbon and aluminium.
authors.affiliation: Royal Orthopaedic Hospital, NHS Trust, Northfield, Birmingham, England, UK.
authors.forename: A
authors.initials: A
authors.lastname: Kulkami
authors.forename: D C
authors.initials: DC
authors.lastname: Mangham
authors.forename: A M
authors.initials: AM
authors.lastname: Davies
authors.forename: R J
authors.initials: RJ
authors.lastname: Grimer
authors.forename: S R
authors.initials: SR
authors.lastname: Carter
authors.forename: R M
authors.initials: RM
authors.lastname: Tillman
mesh_terms: D003937:Diagnosis, Differential; D015745:Granuloma, Foreign-Body / Q000209:etiology*; D006801:Humans; D007592:Joint Diseases / Q000175:diagnosis / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D008854:Microscopy, Electron; D008875:Middle Aged; D013997:Time Factors; D014951:Wounds, Stab / Q000150:complications*; D014954:Wrist Injuries / Q000150:complications*