Presenting symptoms include vague pain, swelling, and loss of motion in the involved metatarsophalangeal joints. Low-grade osteomyelitis often is difficult to identify. [ncbi.nlm.nih.gov]

• Toe Pain

  A 17-year-old boy reported left second and third toe pain after axial loading injury to his left foot. [ncbi.nlm.nih.gov]

• Toe Swelling

  Causes of Freiberg’s disease Foot injury or trauma Having longer-than-normal metatarsal bones Wearing very high heeled shoes Symptoms of Freiberg’s disease Pain localized to the head of the second toe Swelling and stiffness in the metatarsophalangeal [syracusepodiatry.org]

• Localized Pain

  Symptoms for the condition include vague and poorly localized pain in the patient’s forefoot. Others include stiffness in the joint and a limp that results from the breakdown in bone tissue that happens at the metatarsal head of the second toe. [austinfootandankle.com]

• Short Legs

  leg walking cast until symptoms subside, usually in 3-4 weeks; - surgical indications: rare: - failure of conservative treatment; - surgery may be warrented to remove metatarsal heads Freiberg Disease Complicating Unrelated Trauma. [wheelessonline.com]

  If symptoms are severe, consider immobilising the foot in a short leg walking cast until the symptoms subside – usually within 3-4 weeks. Surgical This is rarely used, but the most usual indication is failure of conservative treatment. [thefootandankleclinic.com.au]

  If symptoms are severe, consider immobilising the foot in a short leg walking cast until the symptoms subside - usually within 3-4 weeks. Surgical This is rarely used, but the most usual indication is failure of conservative treatment. [patient.info]

  […] drill mulitple holes in metatarsal head Open Joint Debridement (level 4 evidence) excision of thickened synovium removal of loose bodies delaminated articular cartilage resection of osteophytes preserve intact plantar aspect /- K wire across joint /- short [orthofracs.com]

• Small Foot

  Atrophy of intrinsic small foot muscles secondary to neuropathy, which is prevalent in diabetes mellitus, may play a part in the development of Freiberg's infraction. [ncbi.nlm.nih.gov]

• Hyperactivity

  The scintigraphic pattern of a photopenic defect with hyperactive collar is demonstrated as evidence of the existence of avascular necrosis or infarction in this entity. [ncbi.nlm.nih.gov]

  Plain X-ray appearance On X-ray (see 'Classification', below), the second metatarsal head has a flattened appearance with areas of increased sclerosis and fragmentation. [ 1 ] Bone scans Bone scanning may demonstrate a centre of reduced activity with a hyperactive [patient.info]

• Seizure

  Eye 504 Redundant Plica 506 Renal Trauma 508 Retinal Detachments and Tears 510 Rhabdomyolysis 512 Rheumatoid Arthritis in Sports 514 Rotator Cuff Tears 516 Scapholunate Dissociation 518 Sciatica 520 Scoliosis 522 SCUBA Diving Injuries: DCS and AGE 524 Seizures [euro-libris.ro]

  […] syndrome ハーラー症候群 GertrudHurler（1889-1965） Germanpediatrician Hutchinson ハッチンソン Hutchinson's teeth ハッチンソン歯 Hutchinson-Gilford ハッチンソン・ギルフォード Hutchinson-Gilford syndrome ハッチンソン・ギルフォード症候群 Ivemark イヴェマルク Ivemark syndrome イヴェマルク症候群 Jackson ジャクソン jacksonian seizure [jams.med.or.jp]

Freiberg's disease is an osteochondrosis of the IInd metatarsal head that prevalently develops during the second decade of life and that is the cause of important painful symptoms that resist conservative treatment. [ncbi.nlm.nih.gov]

Prognosis The condition may continue to worsen after adolescence into adulthood. Deformity and degenerative changes of the MTP joint may occur. [link.springer.com]

Home Adult Elective Disorders Foot Ankle Freiberg's Disease Video Definition Aetiology Epidemiology Anatomy Pathology Classification History Examination Investigations Differential Diagnosis Treatment Complications Prognosis References First reported [orthofracs.com]

Prognosis Fortunately, the outcomes of both non-operative and operative management are good to excellent and most patients are able to return to previous activity. [thefootandankleclinic.com.au]

Options include: Debridement Bone grafting Osteotomy [ 9, 10 ] Arthroplasty Osteochondral transplantation [ 7 ] Prognosis Fortunately, the outcomes of both non-operative and operative management are good to excellent and most patients are able to return [patient.info]

The importance of this and other possible etiologic factors is discussed. [ncbi.nlm.nih.gov]

In his original description, Freiberg favored a traumatic etiology; however, he admitted that trauma itself could not reliably explain all cases. [3] Despite several thoughtful investigations into the etiology of Freiberg disease, no consensus exists [emedicine.medscape.com]

There is some controversy as to the etiology, as it is unclear as to whether this is a result of trauma or primary avascular necrosis of the metatarsal head. [gait.aidi.udel.edu]

Home Adult Elective Disorders Foot Ankle Freiberg's Disease Video Definition Aetiology Epidemiology Anatomy Pathology Classification History Examination Investigations Differential Diagnosis Treatment Complications Prognosis References First reported [orthofracs.com]

Freiberg. [ 2 ] Epidemiology It is difficult to ascertain the true incidence of Freiberg's disease, as many cases may resolve spontaneously before treatment has been sought. Most series in the literature have small numbers. [patient.info]

Surgical management can broadly be categorized as procedures which attempt to correct the pathophysiology and halt its progression, and procedures which address the sequelae of later stage disease. [ncbi.nlm.nih.gov]

The disease is quite rare and must be treated surgically during its early phase in order to prevent progression that may result in permanent changes in the metatarsal head. [ncbi.nlm.nih.gov]

Treatment in the early stage of this disease involves immobilizing the foot to prevent further destruction of the bone that occurs by bearing weight on the ground. [inpodiatrygroup.com]

[…] joint MRI and Bone Scan Theoretically useful, but only case studies in literature of being used to diagnose early disease Differential Diagnosis stress fractures joint sepsis tumour metatarsalgia arthritis Treatment Nonoperative Aim improve symptoms prevent [orthofracs.com]

Restoring the Bone Tissue Freiberg’s disease does need to be treated to prevent permanent side effects, like continued degenerative joint disease. [parkerpodiatry.com]