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

Hand ◽  
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.

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

Hand Surgery ◽  
2007 ◽  
Vol 12 (02) ◽  
pp. 107-111
Author(s):  
Goro Ebihara ◽  
Masayoshi Ikeda ◽  
Yoshinori Oka
Keyword(s):  
Case Report ◽  
Middle Finger ◽  
Metacarpophalangeal Joint ◽  
Loose Body ◽  
Metacarpal Head ◽  
Tumorous Lesion ◽  
Palmar Approach

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.

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

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.

SIMPLE SURGERY TO IMPROVE FLEXION DEFICIT RESULTING FROM MAL-UNION OF FRACTURE NECK OF THE PROXIMAL PHALANX — A CASE REPORT

Hand Surgery ◽  
2014 ◽  
Vol 19 (01) ◽  
pp. 123-125 ◽  
Author(s):  
Yong Chiang Kang ◽  
Puay Ling Tan
Keyword(s):  
Case Report ◽  
Grip Strength ◽  
Avascular Necrosis ◽  
Simple Technique ◽  
Corrective Osteotomy ◽  
Proximal Phalanx ◽  
Non Union

Mal-union of the proximal phalanx can result in stiffness and decreased grip strength. Corrective osteotomy is precarious, especially for mal-union of the neck, as complications like non-union and avascular necrosis may occur. We describe a simple technique of subcondylar fossa reconstruction for mal-union of the proximal phalanx to overcome these problems.

Pyrolytic Carbon Hemiarthroplasty for Avascular Necrosis of the Metacarpal Head: A Case Report

2018 ◽  
Vol 23 (01) ◽  
pp. 140-143 ◽  
Author(s):  
Kahyun Kim ◽  
Hyun Sik Gong ◽  
Goo Hyun Baek
Keyword(s):  
Case Report ◽  
Avascular Necrosis ◽  
Bone Grafting ◽  
Pyrolytic Carbon ◽  
Rare Entity ◽  
Surgical Interventions ◽  
Metacarpal Head

Avascular necrosis of the metacarpal head is a rare entity. Surgical interventions, such as curettage, bone-grafting, and osteotomy, have been reported in symptomatic patients. We present a patient who underwent pyrolytic carbon hemiarthroplasty of the metacarpal head and had satisfactory outcomes at 1-year follow-up.

scholarly journals Avascular Necrosis of Metacarpal Head in an Amateur Volleyball Player: A Case Report

2020 ◽  
Vol 2 (1) ◽  
pp. 46-48
Author(s):  
Sivakumar Raju ◽  
Prahalad Kumar Singhi ◽  
Venkatappa Somashekar ◽  
Raghava Kumar
Keyword(s):  
Case Report ◽  
Avascular Necrosis ◽  
Metacarpal Head ◽  
Volleyball Player

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

2017 ◽  
Vol 22 (01) ◽  
pp. 35-38 ◽  
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.

An Unusual Presentation of Methotrexate-Induced B-Cell Lymphoma of the Metacarpophalangeal Joint: A Case Report and Literature Review

2006 ◽  
Vol 31 (7) ◽  
pp. 1193-1196 ◽  
Author(s):  
J. Woodfin Kennedy ◽  
Lesley K. Wong ◽  
Behrooz Kalantarian ◽  
Leslie Turner ◽  
Cauley W. Hayes
Keyword(s):  
Case Report ◽  
Literature Review ◽  
B Cell ◽  
Cell Lymphoma ◽  
B Cell Lymphoma ◽  
Metacarpophalangeal Joint ◽  
Unusual Presentation
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