Forefoot Disorders
A 14-year-old female gymnast presents with progressive pain at the second MTP joint for 3 months. She has swelling over the second metatarsal head and pain with passive dorsiflexion. Radiographs show flattening and sclerosis of the second metatarsal head with joint space narrowing. MRI confirms osteonecrosis of the metatarsal head with surrounding bone marrow edema. Regarding Freiberg disease:
Mark each as TRUE or FALSE
Freiberg disease is osteonecrosis (avascular necrosis) of the metatarsal head, most commonly the sec...
Risk factors include long second metatarsal (increased stress concentration), high-impact activities...
Freiberg disease most commonly affects the fifth metatarsal; males are more commonly affected; it ty...
The Smillie classification stages Freiberg disease: Stage I (fissure in subchondral bone, normal rad...
Treatment: early stages (I-II) are managed conservatively with activity modification, stiff-soled sh...
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Click T (True) or F (False) for each option