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Freiberg disease

Case contributed by Qutaiba Jaf'ar Mahmoud
Diagnosis almost certain

Presentation

Left foot pain while running.

Patient Data

Age: 45 years
Gender: Male
x-ray

The second metatarsal head shows flattening and decreased subchondral bone density.

Os peroneum is noted on the oblique view (accessory bone).

Case Discussion

Features are consistent with type I Freiberg disease on Bragard staging classification.

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