freiberg disease mri radiology toe radedasia

FREIBERG DISEASE / SUBCHONDRAL FRACTURE INFRACTION / OSTEOCHONDROSIS

 

  • Extensive oedema in the head of the 2nd metatarsal with slight flattening of the cortical margin is characteristic of what's called Freiberg's Disease in adolescents and Subchondral Fracture in adults.

 

  • Freiberg disease occurs in adolescents with an unfused epiphysis.

 

  • However, the same pathology occurs in adults and is called a subchondral fracture or infraction.

 

  • An Infraction is a non displaced incomplete fracture that results in necrosis of the subchondral bone.

 

  • Frieberg's disease or Infraction most commonly occurs in the 2nd Metatarsal Head.

 

  • Can also occur, but is less common, in the 3rd and 4th metatarsal heads.

  • Diffuse bone marrow oedema in the head of the 2nd metatarsal (Pink arrow) with,

 

  • Slight flattening of the 2nd metatarsal head cortical margin (Blue arrow).

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We look at all of these topics in more detail in our Online Guided Foot & Toes MRI Mini Fellowship and Our ONSITE GUIDED ANKLE, FOOT & HIP MRI MINI FELLOWSHIP.


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