Freiberg’s Disease

Freiberg’s disease, also known as Freiberg infraction or osteochondrosis of the metatarsal head, is a relatively rare condition that primarily affects the second metatarsal bone in the foot. It is a form of osteochondrosis, which involves the disruption of blood supply to a bone, leading to the death of bone tissue (avascular necrosis) and subsequent degeneration.

Freiberg’s disease is characterized by:

1. Metatarsal Involvement: It most commonly affects the second metatarsal bone, although it can occasionally involve other metatarsal bones in the foot.
2. Avascular Necrosis: Freiberg’s disease typically occurs due to an interruption in the blood supply to the metatarsal head. This reduced blood flow can result from various factors, including trauma, repetitive stress, or anatomical abnormalities.
3. Pain and Swelling: Patients with Freiberg’s disease often experience pain and swelling in the affected area. The pain may be exacerbated by weight-bearing activities and walking.
4. Joint Changes: Over time, as the bone tissue degenerates, there can be changes in the joint, including the development of arthritis. This can lead to stiffness and reduced range of motion in the affected toe joint.

Treatment options for Freiberg’s disease can range from conservative approaches like rest, activity modification, and orthotic devices to surgical interventions in more severe cases. The choice of treatment depends on the severity of symptoms and the stage of the condition at the time of diagnosis. Early intervention is generally preferred to prevent further damage to the affected bone and joint.

See:

Freiberg’s disease
Rigid Inserts for Freiberg’s disease
Treatment of Freiberg’s disease with rigid foot plates