A LARGE INTRA-ARTICULAR LOOSE BODY IN THE METACARPOPHALANGEAL JOINT OF THE MIDDLE FINGER MIMICKING A CALCIFIED TUMOROUS LESION: A CASE REPORT

We will report on a case with a large intra-articular loose body in the metacarpophalangeal (MP) joint of the middle finger in a 30-year-old-male, which was mimicking a calcified tumourous lesion adjacent to the palmar side of the metacarpal head. It was easily removed through the palmar approach.

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Metacarpophalangeal Joint Denervation in the Treatment of Dieterich Disease: A Case Report

Hand ◽

10.1177/1558944720964964 ◽

2020 ◽

pp. 155894472096496

Author(s):

James Ross Bailey ◽

Paul W. Gorman ◽

Andrew J. Mitchelson

Keyword(s):

Case Report ◽

Grip Strength ◽

Avascular Necrosis ◽

Metacarpophalangeal Joint ◽

Nonoperative Treatment ◽

Joint Mechanics ◽

Metacarpal Head ◽

Relieve Pain ◽

Inflammatory Drugs ◽

Underlying Pathogenesis

Avascular necrosis of the metacarpal head, known as Dieterich disease, is rare. The underlying pathogenesis of the disease is not clearly understood, and there are few cases reported in the literature. Nonoperative treatment with rest and nonsteroidal anti-inflammatory drugs is often successful, but surgical management is sometimes indicated. The case outlined here describes a novel application of the known technique of metacarpophalangeal joint denervation to relieve pain while maintaining joint mechanics and grip strength.

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Locking of the Index Finger Metacarpophalangeal Joint Due to a Chronic Osteochondral Fracture Fragment of the Metacarpal Head: A Case Report

Hand ◽

10.1007/s11552-012-9446-9 ◽

2012 ◽

Vol 7 (4) ◽

pp. 450-453 ◽

Cited By ~ 2

Author(s):

SuRak Eo ◽

Neil F. Jones

Keyword(s):

Case Report ◽

Index Finger ◽

Metacarpophalangeal Joint ◽

Fracture Fragment ◽

Osteochondral Fracture ◽

Metacarpal Head

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Kaplan’s Lesion of the Little Finger Treated with Open Reduction by a Volar Approach: A Case Report

Journal of Wound Management and Research ◽

10.22467/jwmr.2021.01578 ◽

2021 ◽

Vol 17 (2) ◽

pp. 120-124

Author(s):

Jung Hwan Um ◽

Soon Heum Kim ◽

Dong In Jo

Keyword(s):

Case Report ◽

Open Reduction ◽

Index Finger ◽

Metacarpophalangeal Joint ◽

Joint Stability ◽

Volar Approach ◽

Metacarpal Head ◽

Adjacent Structure ◽

Standardized Treatment ◽

Little Finger

Kaplan’s lesions are defined as open wounds with the metacarpal head exposed in the palms, accompanied by complex dorsal dislocation of the metacarpophalangeal joint (MCPJ). Kaplan’s lesions are clinically rare because the volar side of the MCPJ is anatomically supported and reinforced by a stronger adjacent structure. Moreover, lesions in the little finger are very rarely reported because most Kaplan’s lesions occur in the index finger. The reduction of lesions and restoration of joint stability is difficult when Kaplan’s lesions occur. Various methods have been currently introduced in the treatment of Kaplan’s lesions; however, no standardized treatment has been established because of the rarity of this disease. This paper reports a case of Kaplan’s lesion of the left little finger without fracture after a fall; the case was successfully treated with open reduction using a volar approach.

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Arthroscopic resection of a loose body in the inextensible metacarpophalangeal joint of the middle finger complicated with osteoarthritis: A case report

SAGE Open Medical Case Reports ◽

10.1177/2050313x20943773 ◽

2020 ◽

Vol 8 ◽

pp. 2050313X2094377

Author(s):

Tetsuya Hattori ◽

Masaya Tsujii ◽

Takeshi Uemura ◽

Akihiro Sudo

Keyword(s):

Clinical Symptoms ◽

Arthroscopic Surgery ◽

Standard Technique ◽

Middle Finger ◽

Metacarpophalangeal Joint ◽

Loose Body ◽

Joint Motion ◽

Loose Bodies ◽

Dorsal Aspect ◽

The Right

Arthroscopic surgery is a standard technique for removal of loose bodies in large joints. By contrast, there were a few reports of arthroscopic surgery for loose bodies in small joints. We herein report a case of a 70-year-old woman with an inextensible metacarpophalangeal joint in the right middle finger due to an intra-articular loose body that developed after osteoarthritis. Surgery proceeded under vertical traction using traction tower. Two portals were developed at dorsal aspect on the metacarpophalangeal joints. The loose body was removed under arthroscopy with a small incision of both skin and sagittal band, thereby resolving clinical symptoms, including pain and limitations to metacarpophalangeal joint motion.

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LOCKING OF THE METACARPOPHALANGEAL JOINT OF THE THUMB BY A LOOSE BODY: A CASE REPORT

Hand Surgery ◽

10.1142/s0218810406003036 ◽

2006 ◽

Vol 11 (01n02) ◽

pp. 59-62 ◽

Cited By ~ 3

Author(s):

Daisuke Ueda ◽

Masayoshi Ikeda ◽

Yoshinori Oka

Keyword(s):

High School ◽

Case Report ◽

Osteochondritis Dissecans ◽

Metacarpophalangeal Joint ◽

Loose Body ◽

Joint Function ◽

Early Return

We report a case with locking of the metacarpophalangeal (MP) joint of the thumb in a 15-year-old high school baseball catcher, which was caused by an intra-articular loose body arising from osteochondritis dissecans. The loose body was removed arthroscopically, enabling early return to full MP joint function.

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Trans-metacarpal Screw Fixation for Extra-articular Proximal Phalangeal Base Fractures

The Journal of Hand Surgery (Asian-Pacific Volume) ◽

10.1142/s021881041750006x ◽

2017 ◽

Vol 22 (01) ◽

pp. 35-38 ◽

Cited By ~ 1

Author(s):

Eichi Itadera ◽

Takahiro Yamazaki

Keyword(s):

Screw Fixation ◽

Proximal Phalanx ◽

Metacarpophalangeal Joint ◽

Fixation Method ◽

Compression Screw ◽

Metacarpal Head ◽

Headless Compression Screw ◽

Articular Fractures ◽

Intramedullary Canal ◽

Cannulated Drill

We developed a new internal fixation method for extra-articular fractures at the base of the proximal phalanx using a headless compression screw to achieve rigid fracture fixation through a relatively easy technique. With the metacarpophalangeal joint of the involved finger flexed, a smooth guide-pin is inserted into the intramedullary canal of the proximal phalanx through the metacarpal head and metacarpophalangeal joint. Insertion tunnels are made over the guide-pin using a cannulated drill. Then, a headless cannulated screw is placed into the proximal phalanx. All of five fractures treated by this procedure obtained satisfactory results.

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