A Novel Method for Treating Bilateral Freiberg's Disease of the Second Metatarsal: A Case Report

Freiberg's infraction is osteonecrosis of the lesser metatarsal heads, most commonly affecting adolescent females. Bilateral Freiberg's disease is rare, with only a few cases reported. Conservative management is the mainstay of treatment. Surgical management includes the excision of osteophytes and loose chondral flaps, microfracture, corrective osteotomy, and debridement of the metatarsal head, often with unpredictable outcomes. We report a rare case of a 17-year-old girl with bilateral Freiberg's disease who was treated with Autologous Matrix-Induced Chondrogenesis (AMIC), achieving excellent radiological and functional outcomes.