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Handchir Mikrochir Plast Chir 2023; 55(03): 237-241
DOI: 10.1055/a-1868-5629
Fallbericht

Operative Therapie der avaskulären Nekrose des Metakarpalekopfes (M. Dieterich) mittels eines osteochondralen Zylinders aus dem ipsilateralen Os pisiforme: Ein Fallbericht

Operative Treatment of an Avascular Necrosis of the Metacarpal Head (Dieterich´s Disease) with an Osteochondral Autograft from the Ipsilateral Os pisiforme
Stefan Meuser
1   Klinik für Handchirurgie, Helios Klinikum Bonn/Rhein-Sieg, Bonn, Germany
,
Martin Richter
1   Klinik für Handchirurgie, Helios Klinikum Bonn/Rhein-Sieg, Bonn, Germany
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Zusammenfassung

Wir berichten über einen 67jährigen Patienten, bei dem eine avaskuläre Knochennekrose des Kopfes des dritten Mittelhandknochens mittels Knorpel-Knochen-Transplantat aus dem resezierten ipsilateralen Os pisiforme behandelt wurde.

Abstract

We report a case of a 67-year-old patient with avascular necrosis of the metacarpal head of the right middle finger reconstructed using an osteochondral autograft from the ipsilateral os pisiforme.

Schlüsselwörter

aseptische Knochennekrose - Morbus Dieterich - Knorpel-Knochentransplantation - Os pisiforme

Key words

avascular necrosis - Dieterich̓s disease - osteochondral autograft - Os pisiforme


Publication History

Received: 25 February 2022

Accepted: 30 May 2022

Article published online:
19 July 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Wirth T. Juvenile Osteochondrosen und Osteonekrosen. Orthopädie und Unfallchirurgie up2date 2018; 13: 67-78 DOI: 10.1055/s-0043-115397.
    Google Scholar
  • 2 Mauclaire P. Epiphysite des têtes métacarpiennes avec main un peu creuse. Bulle et Mem Soc Nat Chir 1927; 33: 1377-1378
    Google Scholar
  • 3 Dieterich H. Die subchondrale Herderkrankung am Metacarpale III. Arch Klein Chir 1932; 171: 555-567
    Google Scholar
  • 4 Wright TC, Dell PC. Avascular necrosis and vascular anatomy of the metacarpals. J Hand Surg Am 1991; 16: 540-544 DOI: 10.1016/0363-5023(91)90029-B.
    Google Scholar
  • 5 Ahuja K, Gandhi D, Hernandez-Delima FJ. et al. Osteochondroses of the bilateral metacarpal heads: Dieterich disease. A case report with review of the literature. Clin Imaging 2020; 67: 7-10 DOI: 10.1016/j.clinimag.2020.05.020.
    Google Scholar
  • 6 Conesa X, González X, Siles E. et al. Simultaneous development of Dieterich disease and Freiberg disease. J Foot and Ankle Surg 2013; 52: 389-392 DOI: 10.1053/j.jfas.2012.12.014.
    Google Scholar
  • 7 Aldekhayel S, Ghanad E, Mudgal CS. Avascular necrosis of the metacarpal read: A Review of 4 cases. J Hand Surg Am 2018; 43: 1037.e1-1037.e5 DOI: 10.1016/j.jhsa.2018.03.002.
    Google Scholar
  • 8 McGoldrick FJ. Avascular Necrosis of the metacarpal head: A case of Dietrich’s disease and review of the literature. Am J Case Rep 2015; 16: 12-15 DOI: 10.12659/AJCR.892389.
    Google Scholar
  • 9 Wijeratna MD, Hopkinson-Woolley JA. Conservative management of Dieterich disease: Case report. J Hand Surg Am 2012; 37: 807-810 DOI: 10.1016/j.jhsa.2011.12.018.
    Google Scholar
  • 10 Bailey JR, Gorman PW, Mitchelson AJ. Metacarpophalangeal joint denervation in the treatment of Dieterich disease: A case report. Hand (N Y) 2021; 16: 557-561 DOI: 10.1177/1558944720964964.
    Google Scholar
  • 11 Maryada VR, Joseph VM, Pancholi S. et al. Dieterich disease treated with curettage and bone Grafting: A case report. J Orthop Case Rep 2018; 8: 13-15
    Google Scholar
  • 12 Barrueco JL, Zapatero M, Lignereux Y. et al. Osteochondritis dissecans of the head of the second metacarpal bone. J Hand Surg Am 1992; 17: 1079-1081 DOI: 10.1016/S0363-5023(09)91066-8.
    Google Scholar
  • 13 Kim K, Gong HS, Baek GH. Pyrolytic carbon hemiarthroplasty for avascular necrosis of the metacarpal head: A case report. J Hand Surg Asian Pac Vol 2018; 23: 140-143 DOI: 10.1142/S2424835518720086.
    Google Scholar
  • 14 Erne H, Lanz U, van Schoonhoven J. et al. Die aseptische Osteonekrose des Metakarpalekopfes (Morbus Mauclaire) – Fallbericht und Literaturübersicht. Handchir Mikrochir plast Chir 2008; 40: 207-210 DOI: 10.1055/s-2008-1038752.
    Google Scholar
  • 15 Hamada Y, Hibino N, Shinomiya S. Costal osteochondral grafting as a treatment method for avascular necrosis of the ring finger metacarpal: a case report. J Hand Surg Br 2014; 39: 320-321 DOI: 10.1177/1753193412458752.
    Google Scholar
  • 16 Kitay A, Waters PM, Bae DS. Osteochondral autograft transplantation surgery for metacarpal head defects. J Hand Surg Am 2016; 41: 457-463 DOI: 10.1016/j.jhsa.2015.12.021.
    Google Scholar
  • 17 Braun B, Brandenburg L-O, Braun C. Behandlung einer partiellen avaskulären Nekrose eines Mittelhandknochenkopfes (Morbus Mauclaire, Morbus Dieterich) durch Knochen- Knorpel-Transplantation unter Verwendung des Osteochondral Autograft Transfer System (OATS). Handchir Mikrochir plast Chir 2012; 44: 35-39 DOI: 10.1055/s-0032-1301917.
    Google Scholar
  • 18 Kodama N, Ueba H, Takemura Y. et al. Joint Arthroplasty with osteochondral grafting from the knee for posttraumatic or degenerative hand joint disorders. J Hand Surg Am 2015; 40: 1638-1645 DOI: 10.1016/j.jhsa.2015.05.014.
    Google Scholar
  • 19 Maes M, Hansen L, Cheyns P. Osteochondral mosaicplasty as a treatment method for bilateral avascular necrosis of the long finger metacarpal: Case report. J Hand Surg Am 2010; 35: 1264-1268 DOI: 10.1016/j.jhsa.2010.04.014.
    Google Scholar
  • 20 Lam KS, Woodbridge S, Burke FD. Wrist function after excision of the pisiform. J Hand Surg Br 2003; 28: 69-72 DOI: 10.1054/jhsb.2002.0866.
    Google Scholar
  • 21 Arner M, Hagberg L. Wrist flexion strength after excision of the pisiform bone. Scand J Plast Reconstr Surg 1984; 18: 241-245 DOI: 10.3109/02844318409052845.
    Google Scholar
  • 22 Schmidt HM, Lanz U. Chirurgische Anatomie der Hand. 2. Aufl. Stuttgart: Thieme; 2003
    Google Scholar