This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Wada, M.
Right arrow Articles by Harata, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Wada, M.
Right arrow Articles by Harata, S.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
The Journal of Bone and Joint Surgery (American) 84:274-276 (2002)
© 2002 The Journal of Bone and Joint Surgery, Inc.

Case Report

Flexion Osteotomy of the Metacarpal Neck: A Treatment Method for Avascular Necrosis of the Head of the Third Metacarpal

A Case Report

Masayuki Wada, MD, Satoshi Toh, MD, Dosei Iwaya, MD and Seiko Harata, MD

Investigation performed at the Department of Orthopaedic Surgery, Hirosaki University School of Medicine, Hirosaki, Aomori, Japan

Masayuki Wada, MD
Satoshi Toh, MD
Seiko Harata, MD
Department of Orthopaedic Surgery, Hirosaki University School of Medicine, Zaifu-cho-5, Hirosaki, Aomori 036-8562, Japan. E-mail address for S. Toh: toh@cc.hirosaki-u.ac.jp

Dosei Iwaya, MD
Department of Orthopaedic Surgery, Seihoku Central Hospital, Nunoya-cho-41, Goshogawara, Aomori 037-0053, Japan

No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.


   Introduction
 
Aseptic necrosis of the metacarpal head was first reported by Dieterich1 in 1932. This is an uncommon problem, and there are only a few isolated case reports in the literature2-5. The symptoms range in severity; some patients are asymptomatic, while others have a complete collapse of the metacarpal head with a painful and restricted range of motion of the metacarpophalangeal joint6. Because of the limited experience with this problem, no single modality of treatment can be recommended as ideal.

In this report, we describe the case of a patient with changes resembling avascular necrosis of the head of the third metacarpal of the right hand. This problem was treated by a flexion osteotomy of the metacarpal neck, which led to an improvement in function. Our operative technique and the clinical and radiographic results are also discussed.


   Case Report
 
A sixteen-year-old right-hand-dominant male student presented with a one-month history of pain . . . [Full Text of this Article]


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?