title: [As to the traumatic etiology of the Freiberg-Köhler's epiphyseonecrosis (author's transl)].
abstract: There is demonstrated the case of a Freiberg-Köhler's epiphyseonecrosis developing without any doubt after a direct massive contusion of the forefoot by hit against the edge of a swimmingpool. While the X-ray from the date of accident only showed a tiny osseus avulsion fracture out of the base of the proximal phalanx II--in spite of the immediately taken accurate therapeutical provisions (by fixation with plaster and later on paviment dressing)--there took place a massive epiphyseonecrosis of the capitulum II within only three months.--The etiology of the necrosis--direct trauma of the nutritive arteries passing through the collateral ligaments--is discussed. There is given a reference to the particular problems arising by critical examination of similar cases for instance at medical reports.
mesh_terms: D003097:Collateral Circulation; D004838:Epiphyses / Q000293:injuries; D006801:Humans; D008684:Metatarsus / Q000098:blood supply / Q000000981:diagnostic imaging / Q000293:injuries*; D009336:Necrosis; D010007:Osteochondritis / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D013577:Syndrome
vernacular_title: Zur Frage der traumatischen Entstehung des Morbus Köhler II. (Freiberg's Disease).