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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
- Infraction = infarction and fracture
- Freiberg infraction in adolescents = osteochondrosis of metatarsal (MT) head
- In adults: subchondral insufficiency fracture vs. osteonecrosis of MT head
IMAGING
General Features
Radiographic Findings
MR Findings
Imaging Recommendations
Nuclear Medicine Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Lee S et al: Magnetic resonance imaging of subchondral insufficiency fractures of the lower limb. Skeletal Radiol. 48(7):1011-21, 2019
- Hodes A et al: Metatarsalgia. Radiol Clin North Am. 56(6):877-92, 2018
- Schade VL: Surgical management of freiberg's infraction: a systematic review. Foot Ankle Spec. 8(6): 498-519, 2015
- Talusan PG et al: Freiberg's infraction: diagnosis and treatment. Foot Ankle Spec. 7(1):52-6, 2014
- Shane A et al: Second metatarsophalangeal joint pathology and freiberg disease. Clin Podiatr Med Surg. 30(3):313-25, 2013
- Carmont MR et al: Current concepts review: Freiberg's disease. Foot Ankle Int. 30(2):167-76, 2009
- Torriani M et al: MRI of metatarsal head subchondral fractures in patients with forefoot pain. AJR Am J Roentgenol. 190(3):570-5, 2008
- Nguyen VD et al: Freiberg's disease in diabetes mellitus. Skeletal Radiol. 20(6):425-8, 1991
- Stanley D et al: Assessment of etiologic factors in the development of Freiberg's disease. J Foot Surg. 29(5):444-7, 1990
- Young MC et al: Osteochondral disruption of the second metatarsal: a variant of Freiberg's infraction? Foot Ankle. 8(2):103-9, 1987
- Gauthier G et al: Freiberg's infraction: a subchondral bone fatigue fracture. A new surgical treatment. Clin Orthop Relat Res. (142):93-5, 1979
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
- Infraction = infarction and fracture
- Freiberg infraction in adolescents = osteochondrosis of metatarsal (MT) head
- In adults: subchondral insufficiency fracture vs. osteonecrosis of MT head
IMAGING
General Features
Radiographic Findings
MR Findings
Imaging Recommendations
Nuclear Medicine Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Lee S et al: Magnetic resonance imaging of subchondral insufficiency fractures of the lower limb. Skeletal Radiol. 48(7):1011-21, 2019
- Hodes A et al: Metatarsalgia. Radiol Clin North Am. 56(6):877-92, 2018
- Schade VL: Surgical management of freiberg's infraction: a systematic review. Foot Ankle Spec. 8(6): 498-519, 2015
- Talusan PG et al: Freiberg's infraction: diagnosis and treatment. Foot Ankle Spec. 7(1):52-6, 2014
- Shane A et al: Second metatarsophalangeal joint pathology and freiberg disease. Clin Podiatr Med Surg. 30(3):313-25, 2013
- Carmont MR et al: Current concepts review: Freiberg's disease. Foot Ankle Int. 30(2):167-76, 2009
- Torriani M et al: MRI of metatarsal head subchondral fractures in patients with forefoot pain. AJR Am J Roentgenol. 190(3):570-5, 2008
- Nguyen VD et al: Freiberg's disease in diabetes mellitus. Skeletal Radiol. 20(6):425-8, 1991
- Stanley D et al: Assessment of etiologic factors in the development of Freiberg's disease. J Foot Surg. 29(5):444-7, 1990
- Young MC et al: Osteochondral disruption of the second metatarsal: a variant of Freiberg's infraction? Foot Ankle. 8(2):103-9, 1987
- Gauthier G et al: Freiberg's infraction: a subchondral bone fatigue fracture. A new surgical treatment. Clin Orthop Relat Res. (142):93-5, 1979
