Freiberg disease

Case contributed by Dr Ayaz Hidayatov

Presentation

Young female with painful swelling and stiffness at the level of the second metatarsophalangeal joint since 2 months. No history of trauma.

Patient Data

Age: 15-20
Gender: Female
MRI

MR demonstrates distal flattening of the articular surface with bone marrow edema and there is also a loss of the normal marrow signal throughout the head and shaft of the 2nd metatarsal bone. A reactive joint effusion at the 2nd metatarsophalangeal joint and mild periarticular soft tissue enhancement after contrast administration are also present.

CT

CT at the same level reveals the head of the second metatarsal bone is flattened with cortical irregularity, subcortical fracture and mixed subarticular resorption with sclerosis.

Findings are suggestive of Freiberg’s disease.

Case Discussion

The case illustrates typical findings of the osteochondrosis of the metatarsal head. Freiberg disease is painful osteochondrosis involving the metatarsal heads. This condition occurs most often in adolescent girls who perform sports activities.

PlayAdd to Share

Case information

rID: 57112
Case created: 7th Dec 2017
Last edited: 7th Dec 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.