Freiberg infraction

Case contributed by Bahman Rasuli
Diagnosis probable

Presentation

Left foot pain.

Patient Data

Age: 15
Gender: Female
mri

T1W hyposignal and PD fat suppressed hypersignal geographic line delineating a fragment of avascular necrosis in the head of the fourth metatarsal.

Case Discussion

Freiberg infraction is osteochondrosis of metatarsal heads. It typically affects the 2nd metatarsal head, although the 3rd and  4th may also be affected. It is most common in females aged 10-18 years and can be bilateral in up to 10% of cases.

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