# DIETERICH’s disease of both the third and the fourth metacarpal head in a teenage boy: case report and review of literature

## TL;DR

A teenage boy experienced chronic pain from Dieterich’s disease affecting two metacarpal heads, a rare condition with limited literature.

## Contribution

This paper presents a rare case of Dieterich’s disease in a teenager involving two metacarpal heads.

## Key findings

- Dieterich’s disease can affect multiple metacarpal heads simultaneously.
- The condition presented as chronic pain in a teenage patient.
- Such cases are uncommon and underreported in medical literature.

## Abstract

Dieterich’s disease or avascular osteonecrosis of the metacarpal head is rare and not often described in the literature. It affects typically the middle of metacarpal bones and can occur at all age groups. A case of a teenager with chronic pain of the third and fourth metacarpal head is presented.