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Freiberg disease

Case contributed by Yusra Sheikh
Diagnosis certain

Presentation

Pain in the base of her second right toe.

Patient Data

Age: 12 years
Gender: Female
x-ray

There is sclerosis and flattening of the second metatarsal head with some central lucencies. There are several second metatarsophalangeal joint space intra-articular ossific densities, suggestive of loose bodies. In addition, there is cortical thickening of the second metatarsal.

Case Discussion

Appearances are most suggestive of Freiberg disease.

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