Evidence-Based Treatment Algorithm for Freiberg Disease
Journal
CARTILAGE
ISSN
1947-6035
1947-6043
Date Issued
2023
Author(s)
Ichiro Yoshimura
Masato Takao
Sjoerd Stufkens
Jari Dahmen
Gino M.M.J. Kerkhoffs
Mark Glazebrook
Type
Resource Types::text::journal::journal article
URL Institutional Repository
Abstract
<jats:p> 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. </jats:p>
Cite this document
Yoshimura, I., Takao, M., Wagner, E., Stufkens, S., Dahmen, J., Kerkhoffs, G. M. M. J., & Glazebrook, M. (2024). Evidence-based treatment algorithm for freiberg disease. CARTILAGE, 15(1), 58-64. https://doi.org/10.1177/19476035231205676
Subjects
freiberg disease
;
review
;
surgery
;
adolescent
;
arthroplasty
;
debridement
;
female
;
fractures, stress
;
humans
;
metatarsal bones
;
osteotomy
;
algorithm
;
altered foot biomechanics
;
arterial insufficiency
;
arthroplasty
;
arthroscopic debridement
;
article
;
autotransplantation
;
biomechanics
;
bone graft
;
bone necrosis
;
clinical outcome
;
computer assisted tomography
;
conservative treatment
;
decompression
;
dorsiflexion osteotomy
;
evidence based medicine
;
freiberg disease
;
human
;
implant arthroplasty
;
injury
;
interposition arthroplasty
;
metatarsal osteotomy
;
metatarsal shortening arthroplasty
;
microfracture (procedure)
;
osteochondral grafting
;
osteotomy
;
pathophysiology
;
shortening osteotomy
;
surgical core decompression
;
surgical technique
;
systemic disease
;
adolescent
;
debridement
;
female
;
metatarsal bone
;
procedures
;
stress fracture