Freiberg infraction

Case contributed by Muhammad Essam
Diagnosis almost certain

Presentation

Pain over the second metatarsal bone for the last 3 years.

Patient Data

Age: 15 years
Gender: Female
ct

The head of the second metatarsal bone is seen flattened with irregularity and mixed subarticular sclerosis/edema of its articular surface is noted.

A small loose bony fragment is seen at the medial aspect of the right 2nd metatarsophalangeal joint.

Findings are suggestive of underlying osteochondrosis i.e. Freiberg disease.

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