Current Concepts Review: Freiberg's Disease

Carmont, Michael R.; Rees, Robin J.; Blundell, C M

doi:10.3113/fai.2009.0167

Cited by 26 publications

(42 citation statements)

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“…Primary or nontraumatic degenerative arthritis of this joint has not been discussed in the literature, and only fleetingly mentioned in descriptions of second metatarsophalangeal joint instability [2], and Freiberg's infraction [3]. In this study, all patients with primary degenerative arthritis of the second metatarsophalangeal joint report a generalised decrease in motion, with particular limitation in dorsiflexion, of this joint.…”

Section: Discussionmentioning

confidence: 64%

“…Hallux rigidus describes a painful condition affecting the metatarsophalangeal joint of the great toe, characterised by restricted motion (mainly dorsiflexion) and proliferative periarticular bone formation. While there are numerous studies on hallux rigidus [1], second metatarsophalangeal joint arthritis is rarely mentioned in studies on second metatarsophalangeal joint instability [2], Freiberg's infraction [3], or trauma. Moreover, we could not find any studies in the literature on primary degenerative arthritis of this joint.…”

Section: Introductionmentioning

confidence: 99%

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Degenerative osteoarthritis of the second metatarsophalangeal joint: second toe rigidus

Cho

Kim

Lee

2013

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to evaluate the radiographic characteristics and structural configurations of a series of patients with a primary degenerative arthritis of the second metatarsophalangeal joint. Methods We studied 37 feet that had undergone surgical treatment for primary degenerative arthritis of the second metatarsophalangeal joint. The patients were compared with a randomly selected control group, without arthritis of the second metatarsophalangeal joint. The first, second, and fourth metatarsal lengths, and the size of the second metatarsal head were measured on weight-bearing anteroposterior radiographs. The patients were classified on the basis of joint-space narrowing, subchondral sclerosis, osteophyte formation, and subchondral cystic change. Results The average second metatarsal length was significantly longer in the study group (P=0.01). The average length of the first metatarsal relative to the fourth metatarsal was significantly shorter (P=0.02) in the study group, while the average length of the second metatarsal relative to the fourth metatarsal was significantly longer (P=0.01) in the study group. The average diameter of the second metatarsal head was significantly larger in the study group (P=0.00), and the average ratio of this diameter relative to the length of the fourth metatarsal was significantly higher in the study group (P=0.00). A total of four feet were classified as grade 0, nine as grade 1, 17 as grade 2, and seven as grade 3. Conclusions Second toe rigidus should be considered as a diagnosis in patients with painful limited dorsiflexion of the second metatarsophalangeal joint without evidence of Freiberg's infraction or trauma.

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Section: Discussionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Degenerative osteoarthritis of the second metatarsophalangeal joint: second toe rigidus

Cho

Kim

Lee

2013

International Orthopaedics (SICOT)

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“…Freiberg disease was first described in 1914 as osteochondrosis of the metatarsal head [1,2]. The disease often occurs in teenage girls, and much less frequently in boys, during skeletal growth [1,2].…”

Section: Introductionmentioning

confidence: 98%

Midterm clinical results of osteochondral autograft transplantation for advanced stage Freiberg disease

Miyamoto

Takao

Sato

et al. 2015

International Orthopaedics (SICOT)

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“…La enfermedad de Freiberg es la única que afecta predominantemente a las mujeres con una relación mujer-hombre de 5:1 y suele ser unilateral 17 . La sintomatología habitual que puede aparecer en las personas que padecen Freiberg se relaciona con cojera, dolor metatarsal que empeora al ponerse de pie y al caminar, claudicación espontánea, tumefacción dorsal, limitación del movimiento, aunque los síntomas pueden no comenzar hasta que la artritis degenerativa se ha desarrollado 18,19 . En la exploración clínica, a la palpación se percibe dolor a la presión dorsoplantar de la cabeza metatarsiana afectada, con inflamación y limitación en la movilidad articular debido al dolor.…”

Section: Etiologíaunclassified

Aproximación al manejo de la enfermedad de Freiberg

López‐López

Palomo‐López

García

et al. 2013

Rev. Int. Cienc. Podol.

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Los autores declaran no tener ningún tipo de interés económico o comercial. ReSuMenLa enfermedad de Freiberg, descrita por Albert H. Freiberg en 1914, es una osteocondrosis que se presenta en los metatarsianos y con mayor frecuencia en la segunda cabeza metatarsal. La carencia de consenso en relación a la etiología multifactorial que presenta esta afección y la prevalencia de esta enfermedad a nivel del pie, sobre todo en la adolescencia y en deportistas, nos lleva a mejorar los conocimientos existentes en lo que se refiere a su clasificación, diagnóstico y tratamiento en la búsqueda de actualizar los conceptos relacionados con esta patología del pie. Palabras clave: necrosis avascular; metatarsalgia; infracción de freiberg; osteocondritis. AbStRACtFreiberg's disease, described by Albert H. Freiberg in 1914, is presented in osteochondrosis metatarsals and more frequently in the second metatarsal head. The lack of consensus regarding the multifactorial etiology has this condition and the prevalence of this disease at the foot, especially in adolescence and athletes, leads us to improve existing knowledge in regard to their classification, diagnosis and treatment in the quest to update the concepts related to this foot disorders.

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Current Concepts Review: Freiberg's Disease

Cited by 26 publications

References 0 publications

Degenerative osteoarthritis of the second metatarsophalangeal joint: second toe rigidus

Degenerative osteoarthritis of the second metatarsophalangeal joint: second toe rigidus

Midterm clinical results of osteochondral autograft transplantation for advanced stage Freiberg disease

Aproximación al manejo de la enfermedad de Freiberg

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