 Immediately the head of the proximal phalanx was found to be lytic, disease, friable, crumbly, and there were free fragments of the medial aspect of the bone, the head of the proximal phalanx. 
Immediately the head of the proximal phalanx was found to be lytic , disease , friable , crumbly , and there were free fragments of the medial aspect of the bone , the head of the proximal phalanx .