Conservative management of avascular necrosis of the metacarpal head: A case report and brief review.
Journal
Medicine
ISSN: 1536-5964
Titre abrégé: Medicine (Baltimore)
Pays: United States
ID NLM: 2985248R
Informations de publication
Date de publication:
21 05 2021
21 05 2021
Historique:
received:
09
03
2021
accepted:
06
05
2021
entrez:
20
5
2021
pubmed:
21
5
2021
medline:
2
6
2021
Statut:
ppublish
Résumé
Avascular necrosis (AVN) of the metacarpal head is rare, and there is no clear consensus on treatment. The main aim of this study was to discuss the possible pathologic-mechanics of its development, epidemiology, radiographic features, and outcome after conservative treatment. A 14-year-old male with a history of fractures in little finger complained of right-hand pain with a limited range of motion for 1 month. Diagnosis: Imaging examination confirmed the diagnosis of AVN in the long metacarpal finger and ring finger. The patient was treated using non-surgical management, such as splint immobilization, non-steroidal anti-inflammatory drugs, and physiotherapy. At the last follow-up 26 months later, the patient was in complete remission with no residual symptoms. Magnetic resonance imaging (MRI) confirmed excellent remodeling and regeneration in the metacarpal head. Metacarpal head necrosis typically occurs in adolescent patients with a history of trauma. Conservative treatment may sometimes have an excellent prognosis.
Identifiants
pubmed: 34011129
doi: 10.1097/MD.0000000000026083
pii: 00005792-202105210-00110
pmc: PMC8136993
doi:
Types de publication
Case Reports
Journal Article
Review
Retracted Publication
Langues
eng
Sous-ensembles de citation
IM
Pagination
e26083Commentaires et corrections
Type : RetractionIn
Informations de copyright
Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.
Déclaration de conflit d'intérêts
The authors have no funding and conflicts of interests to disclose.
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