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Freiberg disease

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

painful left forefoot. No history of trauma.

Patient Data

Age: 16 years
Gender: Female
mri

The MRI sequences demonstrate flattening with cortical irregularity of the 2nd and 3rd metatarsal head with bone marrow edema and minimal effusion of the 2nd metatarsophalangeal joint.

Case Discussion

Freiberg disease, also known as Freiberg infraction, is osteochondrosis of metatarsal heads. It typically affects the 2nd metatarsal head, although the 3rd and 4th may also be affected. It is most common in females aged 10-18 years. Freiberg disease involving the 2nd and 3rd metatarsal head was also described in the literature 1,2.

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