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Dördüncü Derece Freiberg Hastalığı Olan Bir Olgu

Year 2020, Volume: 3 Issue: 3, 116 - 119, 29.10.2020

Abstract

17 yaşında bir kadın hasta, birkaç ay önce ayak parmağında başlayan ve daha sonra aynı ayağın ikinci ve üçüncü metatarsallarına yansıyan ağrı şikayetiyle ortopedi kliniğine gelmiştir. Radyolojik incelemede ikinci ve üçüncü metatars başlarında bozulma saptandı ve Freiberg hastalığının 4. Evresi olarak tanı konuldu. Dördüncü derece Freiberg hastalığı görüldüğü için tedavi cerrahi olarak planlandı. Bu olguda, Evre IV oldukça nadir görüldüğü için tanı ve tedavi sonuçlarını paylaşmayı amaçladık.

References

  • 1) Freiberg AH. Infraction of the second metatarsal bone. Surg Gynecol Obstet. 1914;19:191-3.
  • 2) Gauthier G, Elbaz R. Freiberg's infraction: A subchondral bone fatigue fracture. A new surgical treatment. Clin Orthop Relat Res. 1979;142:93-5.
  • 3) Talusan PG, Diaz-Collado PJ, Reach JS. Freiberg's infraction: diagnosis and treatment. Foot Ankle Spec. 2014;7(1):52-6.
  • 4) Carmont MR, Rees RJ, Blundell CM. Current Concepts Review: Freiberg’s Disease. Foot & Ankle International. 2009;30(2):167-76.
  • 5) Seybold JD, Zide JR. Treatment of Freiberg Disease. Foot Ankle Clin. 2018;23(1):157-69.
  • 6) Ikoma K, Maki M, Kido M, Imai K, Arai Y, Fujiwara H, Mikami Y, Kubo T. Extra-articular dorsal closing-wedge osteotomy to treat late-stage Freiberg disease using polyblend sutures: technical tips and clinical results. International Orthopaedics. 2014;38:1401-5.
  • 7) Smillie IS. Freiberg's infraction (Kohler's second disease). J Bone Joint Surg Br. 1957:39(3):580.
  • 8) Hay SM, Harris NJ, Duckworth T. Freiberg’s disease present in adjacent metatarsals. The Foot. 1995;5:95-7.
  • 9) Helix-Giordaninoa M, Randierb E, Freyc S, Piclet B. Treatment of Freiberg’s disease by Gauthier’s dorsal cuneiform osteotomy: Retrospective study of 30 cases. Orthopaedics & Traumatology: Surgery & Research. 2015;101:221-5.
  • 10) Çiloğlu O, Kalkan T, Dursun M, Çiçek H, Seyfettinoğlu F, Tuhanioğlu Ü. Extra-articular dorsal closing-wedge osteotomy in the treatment of late-stage Freiberg disease: clinical outcomes. Cukurova Med J. 2017;42(3):507-12.
  • 11) Kim J, Choi WJ, Park YJ, Lee JW. Modified weil osteotomy for the treatment of freiberg’s disease. Clinics in Orthopedic Surgery. 2012;4:300-6.
  • 12) Al-Ashhab MEA, Kandel WA, Rizk AS. A simple surgical technique for treatment of Freiberg’s disease. The Foot. 2013;23:29-33.
  • 13) Dogan F, Yildizgoren MT, Bekin Sarikaya PZ. Freiberg disease presenting as forefoot pain. International Journal of Foot and Ankle. 2017;1(1):1-2.

A Case With Fourth Degree Freiberg Disease

Year 2020, Volume: 3 Issue: 3, 116 - 119, 29.10.2020

Abstract

A 17-year-old woman experienced pain that started on the toe a few months before coming to the orthopedic clinic and then reflected on the second and third metatarsals of the same foot. Radiological investigation revealed distortion of the second and third metatarsal heads and a diagnosis of stage 4 of Freiberg’s disease was made. The treatment was planned surgical as fourth degree Freiberg disease was seen. Stage IV is extremely rare and we aimed to share the diagnosis and treatment results in this case.

References

  • 1) Freiberg AH. Infraction of the second metatarsal bone. Surg Gynecol Obstet. 1914;19:191-3.
  • 2) Gauthier G, Elbaz R. Freiberg's infraction: A subchondral bone fatigue fracture. A new surgical treatment. Clin Orthop Relat Res. 1979;142:93-5.
  • 3) Talusan PG, Diaz-Collado PJ, Reach JS. Freiberg's infraction: diagnosis and treatment. Foot Ankle Spec. 2014;7(1):52-6.
  • 4) Carmont MR, Rees RJ, Blundell CM. Current Concepts Review: Freiberg’s Disease. Foot & Ankle International. 2009;30(2):167-76.
  • 5) Seybold JD, Zide JR. Treatment of Freiberg Disease. Foot Ankle Clin. 2018;23(1):157-69.
  • 6) Ikoma K, Maki M, Kido M, Imai K, Arai Y, Fujiwara H, Mikami Y, Kubo T. Extra-articular dorsal closing-wedge osteotomy to treat late-stage Freiberg disease using polyblend sutures: technical tips and clinical results. International Orthopaedics. 2014;38:1401-5.
  • 7) Smillie IS. Freiberg's infraction (Kohler's second disease). J Bone Joint Surg Br. 1957:39(3):580.
  • 8) Hay SM, Harris NJ, Duckworth T. Freiberg’s disease present in adjacent metatarsals. The Foot. 1995;5:95-7.
  • 9) Helix-Giordaninoa M, Randierb E, Freyc S, Piclet B. Treatment of Freiberg’s disease by Gauthier’s dorsal cuneiform osteotomy: Retrospective study of 30 cases. Orthopaedics & Traumatology: Surgery & Research. 2015;101:221-5.
  • 10) Çiloğlu O, Kalkan T, Dursun M, Çiçek H, Seyfettinoğlu F, Tuhanioğlu Ü. Extra-articular dorsal closing-wedge osteotomy in the treatment of late-stage Freiberg disease: clinical outcomes. Cukurova Med J. 2017;42(3):507-12.
  • 11) Kim J, Choi WJ, Park YJ, Lee JW. Modified weil osteotomy for the treatment of freiberg’s disease. Clinics in Orthopedic Surgery. 2012;4:300-6.
  • 12) Al-Ashhab MEA, Kandel WA, Rizk AS. A simple surgical technique for treatment of Freiberg’s disease. The Foot. 2013;23:29-33.
  • 13) Dogan F, Yildizgoren MT, Bekin Sarikaya PZ. Freiberg disease presenting as forefoot pain. International Journal of Foot and Ankle. 2017;1(1):1-2.
There are 13 citations in total.

Details

Primary Language English
Subjects Anatomy
Journal Section Olgu Sunumu
Authors

Ayşe Gül Kabakcı 0000-0001-7144-8759

Volkan Tolga Tekbaş 0000-0002-6462-2728

Ahmet Hilmi Yücel 0000-0002-2660-5388

Publication Date October 29, 2020
Submission Date March 23, 2020
Acceptance Date August 25, 2020
Published in Issue Year 2020 Volume: 3 Issue: 3

Cite

AMA Kabakcı AG, Tekbaş VT, Yücel AH. A Case With Fourth Degree Freiberg Disease. Acta Med Nicomedia. October 2020;3(3):116-119.

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