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Freiberg's infraction of the second metatarsal head with formation of multiple loose bodies
G Scartozzi1, A Schram, J Janigian
1Department of Podiatric Surgery, Kern Hospital, Warren, Michigan.
Abstract:
Freiberg's infraction is an osteonecrotic disease process that most often involves the head of the second metatarsal. Establishing a diagnosis can be difficult early in the disease course, mimicking such pathologic processes as stress fracture, septic joint infection, tumors, metatarsalgia, various arthritic diseases, etc. A review of the literature reveals many treatment options and many theories of its etiology. The clinical signs and symptoms, review of the etiologies, radiographic presentation, and conservative and surgical treatments of this disease are presented. A case history and treatment summary of a patient afflicted with Freiberg's infarction involving the second metatarsophalangeal joint of the right foot is presented. Treatment consisted of evacuation of multiple loose bodies from the joint, resection arthroplasty of the diseased joint, and insertion of a total joint prosthesis.
Insights
Freiberg's infarction, a condition affecting the second metatarsal head, presents diagnostic challenges. This review details its causes, symptoms, and treatments, including a case study of successful joint prosthesis surgery.
Area of Science:
- Orthopedics
- Podiatry
- Radiology
Background:
- Freiberg's infarction is a challenging osteonecrotic condition primarily affecting the second metatarsal head.
- Early diagnosis is complicated by its mimicry of other foot pathologies like stress fractures or septic arthritis.
Observation:
- This review synthesizes current literature on Freiberg's infarction, covering etiology, clinical presentation, and diagnostic imaging.
- It examines various conservative and surgical treatment modalities available for this condition.
Findings:
- A case study details a patient with Freiberg's infarction of the second metatarsophalangeal joint.
- Treatment involved removing loose bodies, performing resection arthroplasty, and implanting a total joint prosthesis.
Implications:
- The findings highlight the complexity of diagnosing and treating Freiberg's infarction.
- Successful surgical intervention, including joint prosthesis, offers a viable option for severe cases.