Freiberg disease

Case contributed by Mahmoud Ibrahim Mekhaimar
Diagnosis almost certain

Presentation

Right foot pain. No trauma.

Patient Data

Age: 10 years
Gender: Male
mri

The 2nd metatarsal head shows flattening, cortical irregularities and subchondral low signal line as well as patchy marrow edema. Minimal effusion of the 2nd tarsometatarsal joint.  

Case Discussion

Freiberg disease, also known as Freiberg infraction, is osteochondrosis of metatarsal heads. It typically affects the 2nd metatarsal head, although the 3rd and 4th may also be affected.

Special thanks to Dr Amr Abd El Fattah.

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