A LARGE INTRA-ARTICULAR LOOSE BODY IN THE METACARPOPHALANGEAL JOINT OF THE MIDDLE FINGER MIMICKING A CALCIFIED TUMOROUS LESION: A CASE REPORT

Hand Surgery ◽  
2007 ◽  
Vol 12 (02) ◽  
pp. 107-111
Author(s):  
Goro Ebihara ◽  
Masayoshi Ikeda ◽  
Yoshinori Oka
Keyword(s):  
Case Report ◽  
Middle Finger ◽  
Metacarpophalangeal Joint ◽  
Loose Body ◽  
Metacarpal Head ◽  
Tumorous Lesion ◽  
Palmar Approach

We will report on a case with a large intra-articular loose body in the metacarpophalangeal (MP) joint of the middle finger in a 30-year-old-male, which was mimicking a calcified tumourous lesion adjacent to the palmar side of the metacarpal head. It was easily removed through the palmar approach.

Metacarpophalangeal Joint Denervation in the Treatment of Dieterich Disease: A Case Report

Hand ◽  
2020 ◽  
pp. 155894472096496
Author(s):  
James Ross Bailey ◽  
Paul W. Gorman ◽  
Andrew J. Mitchelson
Keyword(s):  
Case Report ◽  
Grip Strength ◽  
Avascular Necrosis ◽  
Metacarpophalangeal Joint ◽  
Nonoperative Treatment ◽  
Joint Mechanics ◽  
Metacarpal Head ◽  
Relieve Pain ◽  
Inflammatory Drugs ◽  
Underlying Pathogenesis

Avascular necrosis of the metacarpal head, known as Dieterich disease, is rare. The underlying pathogenesis of the disease is not clearly understood, and there are few cases reported in the literature. Nonoperative treatment with rest and nonsteroidal anti-inflammatory drugs is often successful, but surgical management is sometimes indicated. The case outlined here describes a novel application of the known technique of metacarpophalangeal joint denervation to relieve pain while maintaining joint mechanics and grip strength.

scholarly journals Kaplan’s Lesion of the Little Finger Treated with Open Reduction by a Volar Approach: A Case Report

2021 ◽  
Vol 17 (2) ◽  
pp. 120-124
Author(s):  
Jung Hwan Um ◽  
Soon Heum Kim ◽  
Dong In Jo
Keyword(s):  
Case Report ◽  
Open Reduction ◽  
Index Finger ◽  
Metacarpophalangeal Joint ◽  
Joint Stability ◽  
Volar Approach ◽  
Metacarpal Head ◽  
Adjacent Structure ◽  
Standardized Treatment ◽  
Little Finger

Kaplan’s lesions are defined as open wounds with the metacarpal head exposed in the palms, accompanied by complex dorsal dislocation of the metacarpophalangeal joint (MCPJ). Kaplan’s lesions are clinically rare because the volar side of the MCPJ is anatomically supported and reinforced by a stronger adjacent structure. Moreover, lesions in the little finger are very rarely reported because most Kaplan’s lesions occur in the index finger. The reduction of lesions and restoration of joint stability is difficult when Kaplan’s lesions occur. Various methods have been currently introduced in the treatment of Kaplan’s lesions; however, no standardized treatment has been established because of the rarity of this disease. This paper reports a case of Kaplan’s lesion of the left little finger without fracture after a fall; the case was successfully treated with open reduction using a volar approach.

scholarly journals Arthroscopic resection of a loose body in the inextensible metacarpophalangeal joint of the middle finger complicated with osteoarthritis: A case report

2020 ◽  
Vol 8 ◽  
pp. 2050313X2094377
Author(s):  
Tetsuya Hattori ◽  
Masaya Tsujii ◽  
Takeshi Uemura ◽  
Akihiro Sudo
Keyword(s):  
Clinical Symptoms ◽  
Arthroscopic Surgery ◽  
Standard Technique ◽  
Middle Finger ◽  
Metacarpophalangeal Joint ◽  
Loose Body ◽  
Joint Motion ◽  
Loose Bodies ◽  
Dorsal Aspect ◽  
The Right

Arthroscopic surgery is a standard technique for removal of loose bodies in large joints. By contrast, there were a few reports of arthroscopic surgery for loose bodies in small joints. We herein report a case of a 70-year-old woman with an inextensible metacarpophalangeal joint in the right middle finger due to an intra-articular loose body that developed after osteoarthritis. Surgery proceeded under vertical traction using traction tower. Two portals were developed at dorsal aspect on the metacarpophalangeal joints. The loose body was removed under arthroscopy with a small incision of both skin and sagittal band, thereby resolving clinical symptoms, including pain and limitations to metacarpophalangeal joint motion.

LOCKING OF THE METACARPOPHALANGEAL JOINT OF THE THUMB BY A LOOSE BODY: A CASE REPORT

Hand Surgery ◽  
2006 ◽  
Vol 11 (01n02) ◽  
pp. 59-62 ◽  
Author(s):  
Daisuke Ueda ◽  
Masayoshi Ikeda ◽  
Yoshinori Oka
Keyword(s):  
High School ◽  
Case Report ◽  
Osteochondritis Dissecans ◽  
Metacarpophalangeal Joint ◽  
Loose Body ◽  
Joint Function ◽  
Early Return

We report a case with locking of the metacarpophalangeal (MP) joint of the thumb in a 15-year-old high school baseball catcher, which was caused by an intra-articular loose body arising from osteochondritis dissecans. The loose body was removed arthroscopically, enabling early return to full MP joint function.

Trans-metacarpal Screw Fixation for Extra-articular Proximal Phalangeal Base Fractures

2017 ◽  
Vol 22 (01) ◽  
pp. 35-38 ◽  
Author(s):  
Eichi Itadera ◽  
Takahiro Yamazaki
Keyword(s):  
Screw Fixation ◽  
Proximal Phalanx ◽  
Metacarpophalangeal Joint ◽  
Fixation Method ◽  
Compression Screw ◽  
Metacarpal Head ◽  
Headless Compression Screw ◽  
Articular Fractures ◽  
Intramedullary Canal ◽  
Cannulated Drill

We developed a new internal fixation method for extra-articular fractures at the base of the proximal phalanx using a headless compression screw to achieve rigid fracture fixation through a relatively easy technique. With the metacarpophalangeal joint of the involved finger flexed, a smooth guide-pin is inserted into the intramedullary canal of the proximal phalanx through the metacarpal head and metacarpophalangeal joint. Insertion tunnels are made over the guide-pin using a cannulated drill. Then, a headless cannulated screw is placed into the proximal phalanx. All of five fractures treated by this procedure obtained satisfactory results.

An Unusual Presentation of Methotrexate-Induced B-Cell Lymphoma of the Metacarpophalangeal Joint: A Case Report and Literature Review

2006 ◽  
Vol 31 (7) ◽  
pp. 1193-1196 ◽  
Author(s):  
J. Woodfin Kennedy ◽  
Lesley K. Wong ◽  
Behrooz Kalantarian ◽  
Leslie Turner ◽  
Cauley W. Hayes
Keyword(s):  
Case Report ◽  
Literature Review ◽  
B Cell ◽  
Cell Lymphoma ◽  
B Cell Lymphoma ◽  
Metacarpophalangeal Joint ◽  
Unusual Presentation

scholarly journals A Case Report of Complex Dislocation of the Metacarpophalangeal Joint of the Little Finger

1989 ◽  
Vol 38 (1) ◽  
pp. 277-280
Author(s):  
Tatsuya Ogata ◽  
Kosuke Hyakutake ◽  
Hiroshi Inoue ◽  
Masashi Sagara ◽  
Shyoji Nakao ◽  
...  
Keyword(s):  
Case Report ◽  
Metacarpophalangeal Joint ◽  
Little Finger

Diagnosis of the Aetiology of a Locked Metacarpophalangeal Joint Using MRI

1993 ◽  
Vol 18 (5) ◽  
pp. 645-647 ◽  
Author(s):  
F. SCHUIND ◽  
B. STALLENBERG
Keyword(s):  
Metacarpophalangeal Joint ◽  
Mri Scan ◽  
Metacarpal Head

A case is reported of a locked MP joint due to ulceration of the metacarpal head. This was clearly visible on MRI scan.

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