Osteonecrosis of 2nd metatarsal head (Freiberg infraction)

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Chronic left foot pain.

Patient Data

Age: 20 years
Gender: Male

The 2nd metatarsal head shows flattening, cortical irregularity, and subchondral low signal line associated with adjacent bone marrow edema in keeping with Freiberg infraction.

Case Discussion

MR imaging features were consistent with Freiberg avascular necrosis of the 2nd metatarsal head.

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