Freiberg’s Infraction (Avascular Necrosis of the 2nd Metatarsal)
What is Avascular Necrosis
Avascular necrosis is the death of bone tissue as a result of disruption to the blood supply in the bone.
Avascular necrosis is most commonly seen in the navicular bone, talus and also the second metatarsal.
What is Freiberg’s Disease
Freibergs disease or avascular necrosis of the metatarsal head is a rare, painful bone disorder. It is most commonly seen in adolencence between 12 and 18 years of age.
Causes of Freibergs Infraction
There is no known cause of Freibergs Infraction, it is thought that trauma may initiate the problem.
Diagnosis of Freibergs Infraction
There can be pain, swelling, redness or warmth on the top of the foot. The diagnosis is confirmed by x-ray and a complete examination at the Foot and Ankle Centre of Victoria.
Symptoms can last for a few days or may persist for up to two years.
Treatment of Freibergs Infraction
Freibergs infraction usually resolves within a year and the metatarsal head regains its size, density and structure.
Treatment is designed to reduce the pain this can be in the form of.
- Orthotics
- More supportive shoes
- Stiff shoes
- Cast immobilisation if pain is severe
Only in certain circumstances is surgery is not indicated in the treatment of Freibergs disease.
What else could it be? (differential diagnosis)
Other problems that can cause similar pain to Freibergs disease include:
Gout
The Ankle and Foot Centre’s Northcote Podiatrists can help you with all lower limb complaints, including Freibergs. Make an appointment to get your foot and ankle pain under control.