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Foot & Ankle
intermediate
X-Type

Freiberg Infarction

Metatarsal Disorders

A 16-year-old female dancer presents with gradually worsening pain in the forefoot, localized to the second metatarsal head. She has swelling and tenderness over the second MTP joint. Radiographs show flattening and sclerosis of the second metatarsal head with loose body formation. Regarding Freiberg infarction:

Mark each as TRUE or FALSE

A

Freiberg infarction (Freiberg disease) is osteonecrosis of a metatarsal head, most commonly the seco...

B

Clinical features include forefoot pain worsened by weight-bearing and activity, swelling and tender...

C

Freiberg disease affects the first metatarsal most commonly; it is more common in males; it presents...

D

Radiographic findings progress through Smillie stages: Stage I shows fissure fracture, Stage II show...

E

Treatment is initially conservative with activity modification, stiff-soled shoes, metatarsal pads, ...

Answer the questions to see explanations

Click T (True) or F (False) for each option