Osteochondral Autografting for Acute Articular Defect of the Metacarpal Head: Case Report

Osteochondral injuries in the hand are common. The small size of the joints and associated articular surfaces make repair of these injuries difficult. Osteochondral autografting has been described in the knee for some time and has recently been reported for hand injuries. We describe the use of an osteochondral graft taken from the dorsal nonarticular portion of the metacarpal head for a defect in the metacarpophalangeal joint surface.