Freiberg disease

Case contributed by Dr Ayaz Hidayatov


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

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 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.

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Case information

rID: 57112
Published: 7th Dec 2017
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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