Abstract

Acro-osteolysis is defined as the resorption of bone from the shafts of terminal phalanges. This can be as a result of vascular, metabolic, toxic and mechanical trauma [1] . Clinically patient usually presents with swelling, pain, toe deformities and radiological features of tuft resorption as zones of radiolucency in the middle of the affected phalanges. We present a case of an idiopathic acro-osteolysis in a 65 year old male patient in the form of a chronic non healing ulcer. Patient had a precipitating cold exposure episode followed by repeated mechanical stress related to the occupation. Timely and appropriate surgical and rehabilitative medical care helped the patient management

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