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Atypical Presentation of Acute Freiberg Disease
Louise Kenny1, Balaji Purushothaman2, Rebecca Teasdale3
1Surgeon, Sunderland Royal Hospital, Sunderland, UK.
Abstract:
Freiberg disease is a chronic progressive condition that results in pain and loss of normal function of the metatarsophalangeal joint (MTPJ). We describe a case of acute Freiberg disease secondary to a short course of oral steroids. The patient presented with an acute metatarsal head fracture that was managed successfully with open reduction and internal fixation. Although a rare complication of corticosteroid use, physicians having patients start taking steroids must remember the risk of osteonecrosis.
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