Freiberg’s Infarction In A 12 Year Old FemaleFreiberg’s Infarction In A 12 Year Old Female
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 7
Abstract
Freiberg’s disease or Freiberg’s infarction, first described by Albert Freiberg1 in 1914, is a rare condition affecting the metatarsal in which there is osteochondrosis of the head of metatarsal. It is the fourth most common osteochondrosis in the body2. The condition is relatively rare and its exact etiology has not been yet discovered. However, repetitive trauma and vascular insufficiency to the metatarsal head are shown to be important causative factors3,4,5. Although the second metatarsal is the most common site, it can be found rarely in other metatarsals ( most commonly 3rd, followed by 4th metatarsal). The fifth metatarsal is rarely involved6. Many systems have been used to stage Freiberg’s disease like Simille’s7 and Braggard’s8. The Braggard’s classification requires radiograph of the foot in two planes. Stage I is characterized by flattening of metatarsal head and decreased subchondral bonne density. In type II, there is metatarsal head sclerosis, fragmentation and deformation. Stage III is characterized by arthrosis of MTP joint with intra-articular loose bodies. We present the report of a 12 year old school going girl with previously undiagnosed Stage II Freiberg’s disease who was successfully managed with conservative methods.
Authors and Affiliations
Dr Nikhil Dilip Palange
Keywords
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