Freiberg Disease (Subscribe)  

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...

Illustrations of the surgical procedure

Synonyms: Freiberg's infraction Anterior metatarsalgia that involves head of second metatarsal It was first described in 1914 by Alfred H. Freiberg.

osteochondrosis of the metatarsal head
* usually 2nd, less commonly in the 1st and 3rd
* originally thought to be a form of aseptic necrosis
* now thought to be an infarction or a stress fracture
* late...

Synonyms and related keywords: infraction of the metatarsal head, osteochondrosis of the metatarsal heads, avascular necrosis of the metatarsal head, eggshell fracture, peculiar metatarsal disease, Koehler second disease, Panner disease of the metatarsals, osteochondritis deformans metatarso-juvenilis, malacopathia, subchondral bone fatigue fracture of the metatarsal head, dorsal trabecular stress injury of...

Xray illustration and discussion Freiberg-Kohler's disease is the only bone necrosis that is more often seen in girls than in boys.
II: partially detached osteochondral lesion
III: completely detached, non-displaced fragment
IV: detached and displaced fragment
There are 4 stages:
1. Initial stage with cartilaginous edema and joint effusion. The X-ray is still unnoticeable, in...

Freiberg's disease
aka/or Kohler second disease
aka/or Second metatarsal osteochondrosis
aka/or Freiberg infraction
Links to resources on this condition

Freiberg's disease is an "infraction" of the dorsal part of one of the lesser metatarsal heads, usually the second or third. There is a partial collapse of the metatarsal head, with degenerative change in the joint. The lower part of the head, however, is normally well preserved. Freiberg's is a condition...

Case of the week 260
Presentation, question & answer with discussion

- anterior metatarsalgia that involves head of second metatarsal; - occurs during the growth spurt at puberty - most are female; - caused by avascular necrosis of the metatarsal head; - from repetitive stress with microfractures at the junction of...