Fig. 14From: The needle and the damage done: musculoskeletal and vascular complications associated with injected drug usePlain radiograph of the hand in an intravenous drug user presenting with swelling, erythema and deformity of the first carpo-metacarpal joint of the left hand. A destructive and deforming arthropathy is demonstrated with peri-articular erosions, subluxation of the joint and overlying soft tissue swelling (red arrow). Joint aspiration confirmed the diagnosis of septic arthritisBack to article page