Freiberg disease

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Forefoot pain from 4 months ago.

Patient Data

Age: 45 years
Gender: Male
mri

T1W low signal and PD fat suppressed high signal geographic line delineating a fragment of avascular necrosis in the head of the first metatarsal, associated with joint effusion and capsular distention along with the first metatarsophalangeal joint.

Case Discussion

MR images revealed edema in the head of first metatarsal - consistent with Freiberg avascular necrosis.

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