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

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 journal › Article › peer-review

4 Citations (Scopus)

Abstract

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 language	English
Pages (from-to)	311-317
Number of pages	7
Journal	Acta medica Okayama
Volume	67
Issue number	5
Publication status	Published - 2013

Keywords

Avascular necrosis
Metacarpal head
Occult compression fracture
Osteochondral autograft

ASJC Scopus subject areas

Biochemistry, Genetics and Molecular Biology(all)

Cite this

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title = "Occult compression fracture of metacarpal head without evidence of avascular necrosis",

abstract = "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.",

keywords = "Avascular necrosis, Metacarpal head, Occult compression fracture, Osteochondral autograft",

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T1 - Occult compression fracture of metacarpal head without evidence of avascular necrosis

AU - Nishida, Keiichiro

AU - Hashizume, Hiroyuki

AU - Matsukawa, Akihiro

AU - Hashizume, Kenzo

AU - Shimamura, Yasunori

AU - Torigoe, Yasuyuki

AU - Ozaki, Toshifumi

PY - 2013

Y1 - 2013

N2 - 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.

AB - 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.

KW - Avascular necrosis

KW - Metacarpal head

KW - Occult compression fracture

KW - Osteochondral autograft

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AN - SCOPUS:84888412342

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Occult compression fracture of metacarpal head without evidence of avascular necrosis

Abstract

Keywords

ASJC Scopus subject areas

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