Freiberg infraction

Case contributed by Dr Andrew Lawson

Presentation

Pain in the forefoot.

Patient Data

Age: 28
Gender: Female
X-ray

See MR report.

MRI

There is flattening of the head of the second metatarsal with adjacent reactive marrow signal abnormality and reactive capsular thickening. The articular surface of the proximal phalanx is preserved. No erosions or evidence of osteophyte formation. No Morton's neuroma or bursitis. The marrow signal in the remainder of the forefoot metatarsals and phalanges is normal. No regional tenosynovitis.

Comment Fragmentation and collapse of the 2nd MT head, consistent with Freiberg's disease.

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Case information

rID: 27319
Case created: 29th Jan 2014
Last edited: 20th Jul 2016
Inclusion in quiz mode: Included

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