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ID 51867
JaLCDOI
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Author
Nishida, Keiichiro Kaken ID publons researchmap
Hashizume, Hiroyuki
Matsukawa, Akihiro ORCID Kaken ID researchmap
Shimamura, Yasunori Kaken ID publons
Torigoe, Yasuyuki
Abstract
We report a case of 4th metacarpal head collapse of a 19-year-old healthy man. MRI revealed T1 low and T2 high regions in the collapsed 4th metacarpal head, as well as in the right 3rd and left 4th metacarpal head. Our initial diagnosis was occult compression fracture due to avascular necrosis, known as Dieterich's disease. However, pathological findings of surgically resected right 4th metacarpal head were compatible with transient osteoporosis and metacarpal head fracture followed by active tissue repair. The autologous osteochondral transplants from costchondral junction survived and maintained their size and shape even at 10-year follow-up.
Keywords
occult compression fracture
metacarpal head
avascular necrosis
osteochondral autograft
Amo Type
Case Report
Published Date
2013-10
Publication Title
Acta Medica Okayama
Volume
volume67
Issue
issue5
Publisher
Okayama University Medical School
Start Page
311
End Page
317
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
Copyright Holders
CopyrightⒸ 2013 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID
Web of Science KeyUT