Arthroscopic Treatment of Freiberg Disease - Case Report

Freiberg disease is a rare condition whose diagnosis requires a high clinical suspicion. Avascular necrosis of the metatarsal head progresses with articular collapse, leading to forefoot pain and limitation of the daily activities. Several surgical techniques have been described to address the disea...

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Bibliographic Details
Published in:Revista brasileira de ortopedia 2022-10, Vol.57 (5), p.891-895
Main Authors: Atilano Carvalho, Pedro, Teixeira, João, Oliveira, Filipa, Carvalho, Manuel Santos, Gomes, Marta, Torres, António
Format: Article
Language:English
Subjects:
arthroscopy
foot
metatarsal bones
ORTHOPEDICS
Relato de Caso
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Summary:Freiberg disease is a rare condition whose diagnosis requires a high clinical suspicion. Avascular necrosis of the metatarsal head progresses with articular collapse, leading to forefoot pain and limitation of the daily activities. Several surgical techniques have been described to address the disease, and since it is usually diagnosed in later-stages, most of them include joint-destructive procedures. The use of arthroscopy on the small joint of the foot has arisen in the last few years, but its application in Freiberg disease is still scant. Joint-preserving procedures have been advocated for cases of early-stage disease, aiming to relieve symptoms while preventing the progression of the disease. In the present report, we describe a successful treatment of a 12-year-old patient with early-stage Freiberg disease using core decompression and bone marrow graft through a minimally-invasive approach assisted by arthroscopy.
ISSN:0102-3616
1982-4378
1982-4378
DOI:10.1055/s-0040-1701282