How do you treat Freiberg infraction?
Nonoperative treatment is based on decreasing foot pressure and unloading the affected metatarsal. Spontaneous healing with remodeling may occur in early stages of the disease. Operative options are dorsal closing wedge osteotomies, osteochondral transplant, and resection arthroplasty.
What is Freiberg infraction?
Freiberg’s infraction (also known as Freiberg’s disease) is premature bone death, or osteonecrosis, of most commonly the head of the second metatarsal bone in the foot, occurring most commonly the in second decade of life [1].
What causes Freiberg infraction?
What causes it? It is believed that Freiberg’s disease is caused by a loss of blood supply to the end of the bone, which can occur around puberty. It may be caused by repetitive strain on the bone, resulting in subtle damage to the end of the bone near the growth area.
How long does Freiberg’s disease take to heal?
Reduce weight-bearing activities for four to six weeks. If symptoms are severe, consider immobilising the foot in a short leg walking cast until the symptoms subside – usually within 3-4 weeks.
What does Freiberg’s disease feel like?
Common signs and symptoms of Freiberg’s disease include pain and stiffness in the front of the foot, which often leads to a limp. People with this condition may also experience swelling, limited range of motion, and tenderness of the affected foot.
Is Freiberg disease rare?
Freiberg’s disease is rare condition that primarily affects the second or third metatarsal (the long bones of the foot). Although people of all ages can be affected by this condition, Freiberg’s disease is most commonly diagnosed during adolescence through the second decade of life.
Is Freiberg disease painful?
What happens if avascular necrosis is left untreated?
Untreated, avascular necrosis worsens with time. Eventually, the bone can collapse. Avascular necrosis also causes bone to lose its smooth shape, potentially leading to severe arthritis.
Is Freiberg disease curable?
The exact underlying cause of Freiberg’s disease is currently unknown. Treatment depends on many factors, including the severity of condition; the signs and symptoms present; and the age of the patient.
Is Freiberg’s disease arthritis?
Freiberg infraction pattern results in flattening and collapse of the head of the second metatarsophalangeal joint, leading to degenerative changes and progressing to arthritis. Considered to be an uncommon process, avascular necrosis of the second metatarsal is the fourth most common osteochondrosis.
Does Freiberg’s go away?
When symptoms resolve, activities may be gradually increased. Continued use of a metatarsal pad in the shoe may be helpful. On occasion, pain persists despite these measures and surgery may be necessary. Most athletes are able to return to sports following Freiberg’s Disease, even if surgery was performed.