Persistent Metatarsalgia Caused by Freiberg's Disease

 

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Zusammenfassung

Bei Sportlern mit persistierender Metatarsalgie sollte an das Vorliegen eines Morbus Freiberg (Synonym: aseptische Nekrose der Mittelfußköpfchen Freiberg-Köhler II) gedacht und die entsprechende bildgebende Diagnostik veranlasst werden. Es wird eine Kasuistik mit verzögerter Diagnosestellung und operativer Behandlung geschildert. Obwohl die Ätiologie des Krankheitsbildes bisher unklar ist, ergibt eine frühzeitige Diagnose mit entsprechender Behandlung bessere Resultate als spätere Rückzugsoperationen.

Abstract

Objectives

To enhance the awareness and hence early diagnosis of Freiberg's disease in sportspersons complaining of metatarsalgia.

Methods

A case report is presented wherein the correct diagnosis was made late in the natural pathogenesis of the disorder.

Results

Salvage surgery was carried out but prevention and preservation of the anatomy would be preferred.

Conclusions

Although the exact etiology of Freiberg's disease remains uncertain, early diagnosis and appropriate treatment is desirable rather than a salvage procedure.

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Prof. M. Heim

Department of Orthopaedic Rehabilitation
Tel Hashomer Hospital

Israel 52621

Phone: 009723/5303702

Fax: 009723/5355944

Email: blankali@zahav.net.il