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Subchondral insufficiency fracture of the second metatatarsal head in an eldery woman treated with autologous osteochondral transplantation

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Freiberg’s infraction is a rare disorder that arises mostly in adolescent athletes. We describe a 77-year-old woman with the collapse of second metatarsal head with similar clinical appearance to Freiberg’s infraction. Radiological findings at initial visit of our hospital were normal. Her condition was obscure and magnetic resonance imaging showed the subchondral insufficiency fracture with bone marrow edema to the second metatarsal head. Despite the conservative treatment, the second metatarsal head collapsed. She was surgically treated with an osteochondral autograft without complications relating surgery. Furthermore, the histological findings showed that the site of collapse was considered to be secondary lesions resulting from the subchondral insufficiency fracture.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Mie University Faculty of Medicine, 2-174 Edobashi, Tsu city, Mie prefecture, 514-8507, Japan

    Masaya Tsujii, Masahiro Hasegawa & Atsumasa Uchida

  2. Department of Hand Surgery, Graduate School of Medicine, Nagoya University, 65 Tsurumai, Showaku, Nagoya city, Aichi prefecture, 466-8550, Japan

    Hitoshi Hirata

Authors
  1. Masaya Tsujii
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  2. Masahiro Hasegawa
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  3. Hitoshi Hirata
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  4. Atsumasa Uchida
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Correspondence to Masahiro Hasegawa.

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Tsujii, M., Hasegawa, M., Hirata, H. et al. Subchondral insufficiency fracture of the second metatatarsal head in an eldery woman treated with autologous osteochondral transplantation. Arch Orthop Trauma Surg 128, 689–693 (2008). https://doi.org/10.1007/s00402-007-0381-0

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  • DOI: https://doi.org/10.1007/s00402-007-0381-0

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