Avascular Necrosis of the Metacarpal Head: A Review of 4 Cases

Aldekhayel, Salah; Ghanad, Erfan; Mudgal, Chaitanya S.

doi:10.1016/j.jhsa.2018.03.002

Cited by 10 publications

(37 citation statements)

References 9 publications

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“…Some studies have also reported its association with trauma and anatomic variations in the blood supply to the metacarpal head. [ 2 , 3 , 7 ] Adolescents make up a large proportion of the cases, with more than 50% of the reported patients being under the age of 20. [ 3 ] In addition to individuals with definite steroid use, most of the patients have a history of trauma.…”

Section: Discussionmentioning

confidence: 99%

“…[ 2 , 3 , 7 ] Adolescents make up a large proportion of the cases, with more than 50% of the reported patients being under the age of 20. [ 3 ] In addition to individuals with definite steroid use, most of the patients have a history of trauma. [ 3 , 7 , 18 , 19 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 3 ] In addition to individuals with definite steroid use, most of the patients have a history of trauma. [ 3 , 7 , 18 , 19 ]…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, conservative treatment has also been reported as being successful. [ 2 , 3 , 21 ] However, the duration of the course of nonsurgical management was ambiguous. In most cases, the nonsurgical management was followed up for 3 months.…”

Section: Discussionmentioning

confidence: 99%

“…Despite dieterich's disease being observed in all metacarpals, it is mostly common in the middle finger and most rarely found in the thumb. [ 1 , 3 ]…”

Section: Introductionmentioning

confidence: 99%

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Conservative management of avascular necrosis of the metacarpal head: Retraction

Fan

Wang²,

Wang

et al. 2021

Medicine

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Rationale: Avascular necrosis (AVN) of the metacarpal head is rare, and there is no clear consensus on treatment. The main aim of this study was to discuss the possible pathologic-mechanics of its development, epidemiology, radiographic features, and outcome after conservative treatment. Patient concerns: A 14-year-old male with a history of fractures in little finger complained of right-hand pain with a limited range of motion for 1 month. Diagnosis: Imaging examination confirmed the diagnosis of AVN in the long metacarpal finger and ring finger. Interventions: The patient was treated using non-surgical management, such as splint immobilization, non-steroidal anti-inflammatory drugs, and physiotherapy. Outcomes: At the last follow-up 26 months later, the patient was in complete remission with no residual symptoms. Magnetic resonance imaging (MRI) confirmed excellent remodeling and regeneration in the metacarpal head. Lessons: Metacarpal head necrosis typically occurs in adolescent patients with a history of trauma. Conservative treatment may sometimes have an excellent prognosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…[ 3 ] In addition to individuals with definite steroid use, most of the patients have a history of trauma. [ 3 , 7 , 18 , 19 ]…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Despite dieterich's disease being observed in all metacarpals, it is mostly common in the middle finger and most rarely found in the thumb. [ 1 , 3 ]…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations