Presentation
Pain in the base of her second right toe.
Patient Data
Age: 12 years
Gender: Female
From the case:
Freiberg disease
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There is sclerosis and flattening of the second metatarsal head with some central lucencies. There are several second metatarsophalangeal joint space intra-articular ossific densities, suggestive of loose bodies. In addition, there is cortical thickening of the second metatarsal.
Case Discussion
Appearances are most suggestive of Freiberg disease.