Case 16. Freiberg's Disease

Description: Freiberg's Disease Case Presentation: HISTORY: 15 + 4 year old female with left foot pain near the fourth toe for one year. She had no antecedent trauma. She described her pain as a constant, dull ache which had been getting progressively worse. PHYSICAL EXAM: She complained of exquisite tenderness with flexion and extension of her left fourth toe. She had tenderness to palpation over the dorsum of the fourth metatarsal phalangeal joint. She was unable to toe walk without inverting her foot to releive pressure from the fourth metatarsal head.