![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZbFImAEeufItWkppTZYLw4MBSi6jUX2rZpjfxPKBYpFD38IU1qgodJcHlLcKVgDNKqd0MeTdi53MLK_k00siDKDCrU85oxiS5PdcoEFs3O7ndpAXemQiHuOW11R9oLuZMxqGN2qQRkNyo/s400/FibrousRingLesions.jpg)
I'd been seeing these rounded lucencies with well-defined, thin, sclerosed borders in metacarpal heads for a while, and almost called one an erosion in a patient. Turns out Keats (eighth edition, Fig 6-321) calls these ring lesions, probably fibrous and apparently of no clinical significance. I have not found peer-reviewed confirmation of this, however.
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