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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 original activity level.
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JPRAS Open
June 2025
Department of Hand Surgery, Lausanne University Hospital and University of Lausanne, Avenue Pierre-Decker 5, 1011 Lausanne, Switzerland.
Reconstructing multi-tissue defects in the finger remains a significant challenge in hand surgery. We present the case of a 37-year-old man with segmental loss of bone, skin and extensor apparatus on the dorsal aspect of the index finger. A single stage reconstruction was successfully performed using a pedicled chimeric flap based on the second dorsal metacarpal artery combining skin paddle, second metacarpal base bone and the extensor indicis proprius.
View Article and Find Full Text PDFEur J Radiol
August 2025
Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza 50009 Zaragoza, Spain; iHealthy Research Group, University of Zaragoza/IIS Aragon, Zaragoza, Spain. Electronic address:
Purpose: Osteoarthritis of the trapeziometacarpal joint is very common, especially in females, and is closely associated with ligamentous laxity and joint subluxation. The dorsoradial ligament (DRL) remains largely unexplored in ultrasound studies despite its clinical relevance. This study aimed to identify the central fascicle of the DRL anatomically and ultrasonographically and to establish a standardized ultrasound examination protocol.
View Article and Find Full Text PDFInfect Drug Resist
August 2025
Department of Clinical Laboratory, Liaocheng Second People's Hospital, Liaocheng, Shandong, People's Republic of China.
Background: and are aerobic, gram-positive bacteria distributed extensively in the sediment of various environments globally. They usually manifest as opportunistic infections in immunocompromised hosts. Here, we report a coinfection case of and in a patient with normal immune system.
View Article and Find Full Text PDFJ Plast Reconstr Aesthet Surg
July 2025
Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH, USA. Electronic address:
Background: Trapeziectomy with partial trapezoid excision is a common procedure for scapho-trapezio-trapezoidal osteoarthritis (STT OA). This study seeks to determine the impact of performing partial trapezoidectomy in the treatment of STT OA.
Methods: An IRB-approved retrospective review of patients who received trapeziectomy for isolated STT OA was conducted.
J Tradit Chin Med
August 2025
Department of Anatomy, Aichi Medical University School of Medicine, Aichi 480-1195, Japan.
Objective: To investigate the site specificity and differences of the Hegu (LI4) located on the midpoint of the second metacarpal and the point where the bases of the first and second metacarpal bones on the dorsum was historically used as Hegu (LI4) in Japan, through morphological, biomechanical, and histological analyses.
Methods: We defined distally located Hegu (LI4) as Hegu (LI4)-D and proximally located Hegu (LI4) as Hegu (LI4)-P. The distance from the skin surface to the blood vessels as well as the biomechanical properties of the two Hegu (LI4) samples were measured using an ultrasound device and MyotonPRO (MyotonAS, Tallinn, Estonia), respectively, in 20 healthy adult volunteers.