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Joseph Junewick, MD FACR
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Freibergs Infraction

Case Detail

Anatomy: Musculoskeletal
Borders
Heather Borders, MD
Diagnostic Category: Trauma
Created: over 4 years ago
Updated: over 4 years ago
Tags: PEDS
Modality/Study Types: CR
Activities:
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History

Two month history of second metatarsal pain with no know injury


Case Images


Diagnosis

Freibergs Infraction

Findings

Flattening and sclerosis of the distal second metatarsal articular surface

Discussion

Avascular necrosis of the second metatarsal head. Likely related to chronic repetitive trauma. Possibly related to high heeled shoes. Similar findings can be seen in other metatarsals.

Radiographic findings include subchondral lucency initially with progression to sclerosis and fragmentation with collapse leading to a flattened appearance.

Osteotomy may be required for treatment.

Reference

Caffeys Pediatric Diagnostic Imaging; Volume 2. pp. 2859.



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