A case of rheumatoid thumb carpometacarpal (CMC) arthritis with advanced osteolysis is reported. Although CMC joint arthrodesis was performed, bone union was not achieved, and pain and instability persisted. Therefore, first and second metacarpal bone fusion was performed with satisfactory results. While CMC joint arthrodesis or arthroplasty is typically performed, first and second metacarpal b...

A 27-year-old male boxer presented with pain in the dorsum of right wrist and difficulty getting a firm grip on his hand for 2-month duration. On examination, he had swelling over dorsal aspect wrist. Physical examination revealed bony hard mass at junction third metacarpal capitate bones. The persisted despite conservative treatment patient was referred to our hospital further evaluation. Radi...

This case report discusses the reconstruction of an entire thumb metacarpal after a diagnosis of giant cell tumor of bone. The patient underwent excision of the entire thumb metacarpal, followed by interposition of a tricortical iliac crest bone graft and metacarpophalangeal and carpometacarpal joint arthrodeses. This option allowed salvage of the patient's native thumb with functional use as a...

We present a rare case of stress fracture of the second metacarpal bone. A 14-year-old girl felt pain on the dorsal aspect of the right wrist without any history of major trauma, when she played a smash during a game of badminton. On the radiographs, periosteal reaction was detected on the ulnar aspect of the base of the second metacarpal bone. She was treated conservatively and she returned to...

The extensor carpi radialis longus (ECRL) muscle originates from the distal third of the lateral supracondylar ridge of the humerus, front of lateral intermuscular septum and from the lateral epicondyle of humerus. The tendon of ECRL along with extensor carpi radialis brevis (ECRB) passes through the second compartment of extensor retinaculum and inserts into the base of second metacarpal bone ...

Fracture of fifth metacarpal neck commonly requires open reduction and internal fixation. However, the current methods of internal fixation in fifth metacarpal neck fractures remain unsatisfactory. Patients with fractures of fifth metacarpal neck received open reduction and internal fixation with either locking plate in combination with two crossed Kirschner wires (K-wires) or locking plate alo...

Wassel VI radial polydactyly is associated with metacarpal adduction and deviation of the metacarpophalangeal joint ulnar duplicate. The soft tissue abnormalities responsible for these deformities were characterized using preoperative multi-planar three-dimensional ultrasound intraoperative observation in four patients. In all patients, abductor pollicis brevis superficial head flexor inserted ...

Basal joint osteoarthritis (OA) of the thumb is a common, debilitating disease that can have a significant adverse effect on hand function. When conservative therapies, including NSAIDS, corticosteroid injection, splinting, and thenar muscle strengthening exercises, are ineffective, operative therapies such as simple trapeziectomy and trapeziectomy with interposition of tendon and/or muscle are...

A 45-year-old woman presented to the emergency department with left wrist pain following a fall. Physical exam was remarkable for soft tissue swelling of the palmar and dorsal hand, point tenderness at the base of the second metacarpal, and limited active range of motion. Three-view wrist radiographs showed significant soft tissue swelling without evidence of fracture or dislocation. Computed t...

OBJECTIVES This meta-analysis aimed to compare the therapeutic effect of mini-plate versus Kirschner wire (K-wire) internal fixation on the treatment of metacarpal and phalangeal fractures among Chinese Han population. METHODS Databases of China National Knowledge Infrastructure (CNKI), Wanfang, Chinese VIP, PubMed, and Embase were retrieved for studies on mini-plate (case group) versus K-wir...