| Idiopathic osteonecrosis of the third metacarpal head. | |
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MedLine Citation:
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PMID: 18218584 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Ming-Hsiao Hu; Wen-Chih Chen; Chih-Hung Chang |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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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:
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Created Date: 2008-01-25 Completed Date: 2008-04-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9214933 Medline TA: J Formos Med Assoc Country: China (Republic : 1949- ) |
Other Details:
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Languages: eng Pagination: 89-92 Citation Subset: IM |
Affiliation:
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Department of Orthopedic Surgery, Far Eastern Memorial Hospital, Taipei, Taiwan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Diagnosis, Differential Humans Male Metacarpus* / radiography, surgery Middle Aged Osteonecrosis / radiography*, surgery* Range of Motion, Articular |
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