TY - JOUR
T1 - Evidence-Based Treatment Algorithm for Freiberg Disease
AU - Yoshimura, Ichiro
AU - Takao, Masato
AU - Wagner, Emilio
AU - Stufkens, Sjoerd
AU - Dahmen, Jari
AU - Kerkhoffs, Gino M. M. J.
AU - Glazebrook, Mark
N1 - Publisher Copyright: © The Author(s) 2023.
PY - 2023
Y1 - 2023
N2 - Freiberg disease is a type of osteonecrosis of the metatarsal head that predominantly occurs in young females and adolescents, although it may occur at any age. The pathophysiology is multifactorial and may involve trauma, altered foot biomechanics, systemic disorders, and arterial insufficiency. The most typical location is the second metatarsal head, but Freiberg disease may also occur in other lesser toes. Nonoperative treatment is best applied in the early stage of the disease; if this is ineffective, surgical treatment is recommended. Currently available surgical procedures include debridement, osteotomy, osteochondral grafting, microfracture, interposition arthroplasty, implant arthroplasty, and metatarsal shortening arthroplasty. In this article, we propose a treatment algorithm for Freiberg disease based on the current literature and expert opinion.
AB - Freiberg disease is a type of osteonecrosis of the metatarsal head that predominantly occurs in young females and adolescents, although it may occur at any age. The pathophysiology is multifactorial and may involve trauma, altered foot biomechanics, systemic disorders, and arterial insufficiency. The most typical location is the second metatarsal head, but Freiberg disease may also occur in other lesser toes. Nonoperative treatment is best applied in the early stage of the disease; if this is ineffective, surgical treatment is recommended. Currently available surgical procedures include debridement, osteotomy, osteochondral grafting, microfracture, interposition arthroplasty, implant arthroplasty, and metatarsal shortening arthroplasty. In this article, we propose a treatment algorithm for Freiberg disease based on the current literature and expert opinion.
KW - Freiberg disease
KW - review
KW - surgery
UR - http://www.scopus.com/inward/record.url?scp=85173982083&partnerID=8YFLogxK
U2 - https://doi.org/10.1177/19476035231205676
DO - https://doi.org/10.1177/19476035231205676
M3 - Article
C2 - 37815268
SN - 1947-6035
JO - Cartilage
JF - Cartilage
ER -