Freigberg’s infraction (Freiberg disease) radiology

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Definition : Osteonecrosis of metatarsal head (2nd metatarsal head)

13 ~ 18 yr, Girl, 2nd > 3rd or 4th metatarsals

Progressive pain, edema

  • IMAGING FINDING
    • RADIOGRAPH
      • Flattening, sclerosis, fragmentation of metatarsal head, osteochondral fragment, widening of adjacent joint space, periostitis of metadiaphysis
        – Sequelae : deformitym osteoarthritis
    • MR
      • Avascular necrotic bone, joint effusion, adjacent soft tissue edema
13 year-old girl presented with left foot pain Simple AP radiograph shows flattening and sclerotic change of 3rd metatarsal head MRI shows subchondral fracture at 3rd metatarsal head with joint effusion (T2WI)
13 year-old girl presented with left foot pain
Simple AP radiograph shows flattening and sclerotic change of 3rd metatarsal head
MRI shows subchondral fracture at 3rd metatarsal head with joint effusion (T2WI)
13 year-old girl presented with left foot pain Simple AP radiograph shows flattening and sclerotic change of 3rd metatarsal head MRI shows subchondral sclerosis at 3rd metatarsal head (dark signal intensity on T1WI)
13 year-old girl presented with left foot pain
Simple AP radiograph shows flattening and sclerotic change of 3rd metatarsal head
MRI shows subchondral sclerosis at 3rd metatarsal head (dark signal intensity on T1WI)
Typical Freiberg's infraction involving 2nd metatarsal head
Typical Freiberg’s infraction involving 2nd metatarsal head

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