Ten patients with 11 cases of Freiberg's infraction were studied retrospectively. The patients had varying amounts of sports participation. All cases were treated surgically, most after some form of nonoperative inter vention. Surgery consisted of metatarsophalangeal joint debridement, except in 1 patient where the meta tarsal head was resected. All patients had improvement of their symptoms and 80% of normal joint range of motion was restored. No patient had joint space nar rowing or major arthritic changes on follow-up roent genographic studies.
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References
1.
Braddock Gtf : Experimental epiphysial injury and Freiberg's disease. J Bone Joint Surg41B: 154-159, 1959
2.
Daub HF: Aseptic necrosis of the epiphyses and short bones—Roentgen studies . JAMA127: 311-317, 1945
3.
Freiberg AH: The so-called infraction of the second metatarsal bone. J Bone Joint Surg8: 257-261, 1926
4.
Freiberg AH: Infraction of the second metatarsal bone. A typical injury. Surg Gynecol Obstetr19: 191-193, 1914
5.
Gauthier G., Elbaz R.: Freiberg's infraction: A subchondral bone fatigue fracture. A new surgical treatment. Clin Orthop142: 93-95, 1979
6.
Köhler A.: Typical disease of the second metatarsophalangeal joint. Am J Roentgenol10: 705-710, 1915
7.
Lewin P.: Juvenile deformity of the metatarsophalangeal osteochondritis. JAMA81: 189-192, 1923
8.
Margo MK: Surgical treatment of conditions of the fore part of the foot. J Bone Joint Surg49A: 1665-1674, 1967
9.
Smillie IS: Freiberg's infraction (Kohler's second disease). J Bone Joint Surg39B: 580, 1957
10.
Tachdijian MO (ed): Pediatric Orthopedics . Second edition. Philadelphia, WB Saunders, 1990, p 642
