[Dieterich's disease or Kohler III disease or aseptic necrosis of the metacarpal head].

This article presents a rare disease, aseptic necrosis of the metacarpal head. The study of the literature on the subject and the author's cases reveal that there is no certain etiology. Some cases have a history of trauma but others are spontaneous. A therapeutic attitude is suggested, although not forgetting the rarity of the disease.