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Dieterich's disease, also known as avascular necrosis of the metacarpal head, [1] is an extremely rare condition characterized by temporary or permanent loss of blood supply to the metacarpal head of the metacarpal bone, resulting in loss of bone tissue.
Metacarpal osteotomy was proposed as a potentially disease modifying surgery for more limited arthrosis, [24] but there is no experimental support for this theory. [25] There is limited and limited quality evidence regarding splints, corticosteroid injections, manual therapy and other palliative measures.
As these are colloquial terms, texts and medical dictionaries do not universally agree on precise meanings. Various authorities state that a "boxer's fracture" means a break in specifically the second metacarpal bone or third metacarpal bone, [14] with "bar room fracture" being specific to the fourth metacarpal bone or fifth metacarpal bone. [15]
The carpometacarpal (CMC) joints are five joints in the wrist that articulate the distal row of carpal bones and the proximal bases of the five metacarpal bones.. The CMC joint of the thumb or the first CMC joint, also known as the trapeziometacarpal (TMC) joint, differs significantly from the other four CMC joints and is therefore described separately.
A spica splint is a type of orthopedic splint used to immobilize the thumb and/or wrist while allowing the other digits freedom to move. It is used to provide support for thumb injuries (ligament instability, sprain or muscle strain), gamekeeper's thumb, osteoarthritis, de Quervain's syndrome or fractures of the scaphoid, lunate, or first metacarpal. [1]
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