Occult compression fracture of metacarpal head without evidence of avascular necrosis

Keiichiro Nishida, Hiroyuki Hashizume, Akihiro Matsukawa, Kenzo Hashizume, Yasunori Shimamura, Yasuyuki Torigoe, Toshifumi Ozaki

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


We report a case of 4th metacarpal head collapse of a 19-year-old healthy man. MRI revealed Tl 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 Dieterichs 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.

Original languageEnglish
Pages (from-to)311-317
Number of pages7
JournalActa medica Okayama
Issue number5
Publication statusPublished - 2013


  • Avascular necrosis
  • Metacarpal head
  • Occult compression fracture
  • Osteochondral autograft

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)


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