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Case Report
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| The idiopathic avascular osteonecrosis of the third metacarpal head (M. Mauclaire/Dieterich's disease) | ||||||
| Ingo Schmidt | ||||||
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SRH Poliklinik Gera GmbH, Straße des Friedens 122, 07548 Gera (Germany).
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| How to cite this article |
| Schmidt I. The idiopathic avascular osteonecrosis of the third metacarpal head (M. Mauclaire/Dieterich's disease). Int J Case Rep Images 2017;8(2):92–95. |
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Abstract
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Introduction:
M. Mauclaire/Dieterich's disease is an uncommon condition mostly affecting the third metacarpal head, and can lead to secondary osteoarthritis of the metacarpophalangeal joint. For this condition, the total joint replacement is inevitable.
Case Report: We report a 64-year-old male with a history of increasing pain in his third metacarpophalangeal joint right over a period of 10 years. Radiographically, there was a severe osteonecrosis of the third metacarpal head that was accompanied with pronounced osteoarthritis of the metacarpophalangeal joint. The patient was treated successfully with an unconstrained resurfacing total joint replacement. Conclusion: The preservation of motion in the metacarpophalangeal joints II–V has a top priority. A stable and functioning metacarpophalangeal joint is the key for satisfactory function of the overall finger. If a avascular osteonecrosis of a metacarpal head is not accompanied with secondary osteoarthritis, other joints preserving procedures are the methods of choice. In case of secondary osteoarthritis, the total joint replacement is inevitable. Resection arthroplasty or arthrodesis should be avoided as primary surgical procedure, and are to be considered as salvage options after a failed total joint replacement. | |
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Keywords:
Metacarpophalangeal joint, Idiopathic avascular osteonecrosis, Joint replacement
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Author Contributions
Ingo Schmidt – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2017 Ingo Schmidt. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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About The Author
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