Conservative management of avascular necrosis of the metacarpal head: Retraction: A case report and brief review. Issue 20 (21st May 2021)

• Record Type: Journal Article
• Authors: Fan, Xiao-Lei; Wang, Wen-Tao; Wang, Jian; Liao, Yi; Xiao, Rui; Hu, Yi-He
• Editors: Saranathan., Maya
• Is Part Of: Medicine. Volume 100:Issue 20(2021)
• Page Start: e26083
• Publication Date: 2021-05-21
• Subjects: avascular necrosis -- conservative treatment -- dieterich's disease -- metacarpal head -- osteonecrosis; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000026083
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: 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. Patient concerns: 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. Interventions: The patient was treated using non-surgical management, such as splint immobilization, non-steroidal anti-inflammatory drugs, and physiotherapy. Outcomes: 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. Lessons: Metacarpal head necrosis typically occurs in adolescent patients with a history of trauma. Conservative treatment may sometimes have an excellent prognosis.