Abstract
We report a case of silver nitrate stain on the finger that masqueraded as an avulsion fracture on radiograph. Radiopacity in the proximal phalanx was demonstrated on radiograph after topical silver nitrate was applied to achieve haemostasis to a bleeding laceration on that area. The radiopacity was initially diagnosed as an avulsion fracture. The correct diagnosis of radiopacity corresponding to silver nitrate application was confirmed by correlation of physical examination with radiographic finding. The lesion spontaneously resolved with conservative management. The importance of correlating the clinical site of silver nitrate application with radiographic finding for accurate diagnosis and avoidance of unnecessary surgical intervention is emphasized.