A 36-year-old right-hand-dominant woman presented with a 2-month history of intermittent sharp stabbing pain in the left palm. She denied any history of distinct trauma or infection in the area. She was active as a college Frisbee coach and played golf recreationally. Severe pain occurred only when playing Frisbee or golf or during handshaking. The patient denied pain at night. On inspection of the hand, there was no visible mass or deformity. Physical examination of the hand revealed firmness in the palm at the base of the third metacarpal. This area was locally tender to palpation, and pressure applied to this area reproduced the patient's painful symptoms. There were no skin changes overlying the affected area. Motor and sensory function were preserved in median, radial, and ulnar nerves. Twopoint discrimination was preserved distally at the fingertips. The patient had full range of motion at the wrist and in the metacarpophalangeal joints and interphalangeal joints of all digits. Tinel's sign was negative at the wrist, and Allen's test revealed patency of the radial and ulnar arteries.We initially obtained plain radiographs of the affected hand. These films were interpreted as normal. Subsequently, MRI was performed to better characterize the location and nature of the mass (Figs.