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Freiberg disease

MedGen UID:
75532
Concept ID:
C0264099
Disease or Syndrome
Synonyms: Freiberg's disease; Freiberg-Kohler syndrome; Osteochondrosis of the metatarsal head, usually the second; Second metatarsal osteochondrosis
SNOMED CT: Juvenile osteochondrosis of second metatarsal (28466007); Freiberg's infraction (28466007); Freiberg's disease (28466007)
 
Monarch Initiative: MONDO:0023188
Orphanet: ORPHA564003

Definition

A rare bone disease characterized by avascular necrosis of a metatarsal head, most commonly involving the second, but also the third or fourth, metatarsal. Patients may present with pain on weight-bearing, swelling, and tenderness. Radiological features include widening of the metatarsophalangeal joint space and flattening of the affected metatarsal head, at later stages metatarsal head sclerosis, cortical thickening, and intra-articular loose bodies. The condition can be bilateral in some cases and shows a significant predilection for females in the second or third decade of life. [from ORDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVFreiberg disease

Professional guidelines

PubMed

Çakan M, Karadağ ŞG, Ayaz NA
Clin Rheumatol 2021 Feb;40(2):769-774. Epub 2020 Jul 12 doi: 10.1007/s10067-020-05287-x. PMID: 32656661
Seybold JD, Zide JR
Foot Ankle Clin 2018 Mar;23(1):157-169. doi: 10.1016/j.fcl.2017.09.011. PMID: 29362030

Recent clinical studies

Etiology

Kim JK, Kim DY, Oh JS, Ko DI, Lee KB
J Am Podiatr Med Assoc 2024 May-Jun;114(3) doi: 10.7547/22-025. PMID: 39058640
Achar S, Yamanaka J
Am Fam Physician 2019 May 15;99(10):610-618. PMID: 31083875
Seybold JD, Zide JR
Foot Ankle Clin 2018 Mar;23(1):157-169. doi: 10.1016/j.fcl.2017.09.011. PMID: 29362030
Shane A, Reeves C, Wobst G, Thurston P
Clin Podiatr Med Surg 2013 Jul;30(3):313-25. doi: 10.1016/j.cpm.2013.04.009. PMID: 23827490
Atanda A Jr, Shah SA, O'Brien K
Am Fam Physician 2011 Feb 1;83(3):285-91. PMID: 21302869

Diagnosis

Çakan M, Karadağ ŞG, Ayaz NA
Clin Rheumatol 2021 Feb;40(2):769-774. Epub 2020 Jul 12 doi: 10.1007/s10067-020-05287-x. PMID: 32656661
Achar S, Yamanaka J
Am Fam Physician 2019 May 15;99(10):610-618. PMID: 31083875
Wax A, Leland R
Foot Ankle Clin 2019 Mar;24(1):69-82. doi: 10.1016/j.fcl.2018.11.003. PMID: 30685014
Shane A, Reeves C, Wobst G, Thurston P
Clin Podiatr Med Surg 2013 Jul;30(3):313-25. doi: 10.1016/j.cpm.2013.04.009. PMID: 23827490
Atanda A Jr, Shah SA, O'Brien K
Am Fam Physician 2011 Feb 1;83(3):285-91. PMID: 21302869

Therapy

Georgiannos D, Tsikopoulos K, Kitridis D, Givisis P, Bisbinas I
Am J Sports Med 2019 Aug;47(10):2367-2373. Epub 2019 Jul 12 doi: 10.1177/0363546519859549. PMID: 31298927
Seybold JD, Zide JR
Foot Ankle Clin 2018 Mar;23(1):157-169. doi: 10.1016/j.fcl.2017.09.011. PMID: 29362030
Kenny L, Purushothaman B, Teasdale R, El-Hassany M, Parvin B
J Foot Ankle Surg 2017 Mar-Apr;56(2):385-389. doi: 10.1053/j.jfas.2016.11.001. PMID: 28231970
Shane A, Reeves C, Wobst G, Thurston P
Clin Podiatr Med Surg 2013 Jul;30(3):313-25. doi: 10.1016/j.cpm.2013.04.009. PMID: 23827490

Prognosis

Çakan M, Karadağ ŞG, Ayaz NA
Clin Rheumatol 2021 Feb;40(2):769-774. Epub 2020 Jul 12 doi: 10.1007/s10067-020-05287-x. PMID: 32656661
Ishimatsu T, Yoshimura I, Kanazawa K, Hagio T, Yamamoto T
Arch Orthop Trauma Surg 2017 Jul;137(7):959-965. Epub 2017 May 8 doi: 10.1007/s00402-017-2712-0. PMID: 28484850
Kenny L, Purushothaman B, Teasdale R, El-Hassany M, Parvin B
J Foot Ankle Surg 2017 Mar-Apr;56(2):385-389. doi: 10.1053/j.jfas.2016.11.001. PMID: 28231970
Pereira BS, Frada T, Freitas D, Varanda P, Vieira-Silva M, Oliva XM, Duarte RM
Foot Ankle Int 2016 Jan;37(1):90-5. Epub 2015 Aug 13 doi: 10.1177/1071100715598602. PMID: 26276134
Shane A, Reeves C, Wobst G, Thurston P
Clin Podiatr Med Surg 2013 Jul;30(3):313-25. doi: 10.1016/j.cpm.2013.04.009. PMID: 23827490

Clinical prediction guides

Kim JK, Kim DY, Oh JS, Ko DI, Lee KB
J Am Podiatr Med Assoc 2024 May-Jun;114(3) doi: 10.7547/22-025. PMID: 39058640
Çevik N, Akalın Y, Avci Ö, Çınar A, Öztürk A, Özkan Y
Foot Ankle Int 2020 Nov;41(11):1398-1403. Epub 2020 Jul 16 doi: 10.1177/1071100720938769. PMID: 32674687
Kilmartin TE, Posmyk L
J Foot Ankle Surg 2020 Sep-Oct;59(5):942-948. Epub 2020 Jun 3 doi: 10.1053/j.jfas.2019.08.035. PMID: 32505725
Kim SJ, Kim YW, Park JH, Kim GL
Foot Ankle Int 2020 May;41(5):529-535. Epub 2020 Feb 10 doi: 10.1177/1071100720904363. PMID: 32036676
Miyamoto W, Takao M, Miki S, Kawano H
Int Orthop 2016 May;40(5):959-64. Epub 2015 Sep 29 doi: 10.1007/s00264-015-3005-2. PMID: 26419957

Recent systematic reviews

Alhadhoud MA, Alsiri NF, Daniels TR, Glazebrook MA
Foot Ankle Surg 2021 Aug;27(6):606-614. Epub 2020 Aug 27 doi: 10.1016/j.fas.2020.08.005. PMID: 32917526

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