Abstract
The idiopathic avascular osteonecrosis of the third metacarpal head (M. Mauclaire/Dieterich's disease)
Highlights
There was a severe osteonecrosis of the third metacarpal head that was accompanied with pronounced osteoarthritis of the metacarpophalangeal joint
A stable and functioning metacarpophalangeal joint is the key for satisfactory function of the overall finger
If a avascular osteonecrosis of a metacarpal head is not accompanied with secondary osteoarthritis, other joints preserving procedures are the methods of choice
Summary
M. Mauclaire/Dieterich’s disease is an uncommon condition mostly affecting the third metacarpal head, and can lead to secondary osteoarthritis of the metacarpophalangeal joint. Mauclaire/Dieterich’s disease is an uncommon condition mostly affecting the third metacarpal head, and can lead to secondary osteoarthritis of the metacarpophalangeal joint For this condition, the total joint replacement is inevitable. There was a severe osteonecrosis of the third metacarpal head that was accompanied with pronounced osteoarthritis of the metacarpophalangeal joint. If a avascular osteonecrosis of a metacarpal head is not accompanied with secondary osteoarthritis, other joints preserving procedures are the methods of choice. In case of secondary osteoarthritis, the total joint replacement is inevitable. Resection arthroplasty or arthrodesis should be avoided as primary surgical procedure, and are to be considered as salvage options after a failed total joint replacement.
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