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Freibergs Infraction
Case Detail
| Anatomy: Musculoskeletal |
 Heather Borders, MD |
| Diagnostic Category: Trauma |
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| Created: over 2 years ago |
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| Updated: over 2 years ago |
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| Tags:
PEDS
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| Modality/Study Types:
CR
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Activities:  PDF  ImageJA |
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.