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Foot Ankle Clin. 2011 Dec;16(4):647-58. doi: 10.1016/j.fcl.2011.08.008. Epub 2011 Oct 15.

Freiberg's disease.

Author information

1
Institute for Foot and Ankle Reconstruction, Mercy Medical Center, 301 St Paul Place, Baltimore, MD 21202, USA. rcerrato@mdmercy.com

Abstract

Freiberg’s disease is a relatively uncommon disorder of the metatarsal head. Although trauma and circulatory disturbances likely contribute major roles in its development, it is widely accepted that Freiberg’s etiology is multifactorial. Conservative treatment, focused on offloading and relieving stress, is uniformly accepted as the appropriate initial management. Surgical management can broadly be categorized as procedures which attempt to correct the pathophysiology and halt its progression, and procedures which address the sequelae of later stage disease. Newer strategies, including osteochondral transplantation, attempt to restore the damage metatarsal cartilage with a viable osteochondral plug.

PMID:
22118235
DOI:
10.1016/j.fcl.2011.08.008
[Indexed for MEDLINE]
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