Freibergs Disease Wheeless

Description: - 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 the metaphysis and the growth plate - these fractures deprive the epiphysis of adequate circulation; - disease is more common in pts whose 1st metatarsal is shorter than 2nd metatarsal, which increases wt on 2nd metatarsal head; - in adulthood, DJD may develop in MTP joint;