[Dieterich's Disease--the rare aseptic necrosis of the metacarpal head].
The rare diagnosis of the Dieterich's disease at the head of the metacarpal III is presented on the case of a 19-year-old female patient. While aseptic bone necroses at the hand skeleton in handsurgical special departments are not rare and diagnostics and choice of the right treatment are not difficult, there are quite rare findings, which are not commonly known. Dieterich's disease finds precipitation in the literature in a handful of articles, mostly case reports. Dieterich saw among 8 patients 7 women, with a distribution of 7 concerned metacarpal bone III and one metacarpal bone IV. A preference of the female sex or the metacarpal bone III cannot be derived from it. Aseptic necroses at the hand are rarer than at the foot skeleton. Clinically, a swelling at the extensor side of the finger basic joint can exist with movement restriction, occasionally is the hand over it slightly turned red. Mechanical load aggravates the complaints. The clinical aspect, X-ray and therapy options are differentially presented and discussed with consideration of the specific literature.
Schiedel
F M
FM
Klinik und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Münster. schiedf@uni-muenster.de
Langer
M
M
D000328:Adult; D012090:Cumulative Trauma Disorders / Q000000981:diagnostic imaging / Q000534:rehabilitation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D050279:Metacarpal Bones / Q000000981:diagnostic imaging; D009784:Occupational Diseases / Q000000981:diagnostic imaging / Q000534:rehabilitation; D010020:Osteonecrosis / Q000000981:diagnostic imaging / Q000534:rehabilitation*; D011859:Radiography; D013165:Splints