Open Access
Metacarpophalangeal Joint Denervation in the Treatment of Dieterich Disease: A Case Report
Author(s) -
James Ross Bailey,
Paul W. Gorman,
Andrew J Mitchelson
Publication year - 2020
Publication title -
hand
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.722
H-Index - 35
eISSN - 1558-9455
pISSN - 1558-9447
DOI - 10.1177/1558944720964964
Subject(s) - medicine , denervation , metacarpophalangeal joint , avascular necrosis , nonsteroidal , disease , wrist , surgery , pathology , femoral head , thumb
Avascular necrosis of the metacarpal head, known as Dieterich disease, is rare. The underlying pathogenesis of the disease is not clearly understood, and there are few cases reported in the literature. Nonoperative treatment with rest and nonsteroidal anti-inflammatory drugs is often successful, but surgical management is sometimes indicated. The case outlined here describes a novel application of the known technique of metacarpophalangeal joint denervation to relieve pain while maintaining joint mechanics and grip strength.