Document Detail

Idiopathic osteonecrosis of the third metacarpal head.
MedLine Citation:
PMID:  18218584     Owner:  NLM     Status:  MEDLINE    
Osteonecrosis of the metacarpal head is a rare disease entity and there are only a few isolated case reports in the literature. No single modality of treatment can be recommended as ideal. In this report, we describe a patient who presented with changes resembling avascular necrosis at the third metacarpal head of the right hand. It presented as a 2-week history of sudden onset of pain in the region of the right third metacarpophalangeal joint with limitation of flexion. We treated the 51-year-old male patient by curettage, debridement and multiple drilling. At 1-year follow-up, the patient was symptom-free and showed improved range of motion of the metacarpophalangeal joint (0 to 80 degrees). He returned to his original work 2 weeks after the operation without limitation of daily activities. This report presents a new operative treatment that improved the functional outcome of osteonecrosis of the metacarpal head.
Ming-Hsiao Hu; Wen-Chih Chen; Chih-Hung Chang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Formosan Medical Association = Taiwan yi zhi     Volume:  107     ISSN:  0929-6646     ISO Abbreviation:  J. Formos. Med. Assoc.     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-25     Completed Date:  2008-04-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9214933     Medline TA:  J Formos Med Assoc     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  89-92     Citation Subset:  IM    
Department of Orthopedic Surgery, Far Eastern Memorial Hospital, Taipei, Taiwan.
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MeSH Terms
Diagnosis, Differential
Metacarpus* / radiography,  surgery
Middle Aged
Osteonecrosis / radiography*,  surgery*
Range of Motion, Articular

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