title: Atypical Presentation of Acute Freiberg Disease.
abstract: Freiberg disease is a chronic progressive condition that results in pain and loss of normal function of the metatarsophalangeal joint (MTPJ). We describe a case of acute Freiberg disease secondary to a short course of oral steroids. The patient presented with an acute metatarsal head fracture that was managed successfully with open reduction and internal fixation. Although a rare complication of corticosteroid use, physicians having patients start taking steroids must remember the risk of osteonecrosis.
authors.affiliation: Surgeon, Sunderland Royal Hospital, Sunderland, UK. Electronic address: lkenny@doctors.net.uk.
authors.forename: Louise
authors.initials: L
authors.lastname: Kenny
authors.affiliation: Orthopedist, Sunderland Royal Hospital, Sunderland, UK.
authors.forename: Balaji
authors.initials: B
authors.lastname: Purushothaman
authors.affiliation: Medic, Sunderland Royal Hospital, Sunderland, UK.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Teasdale
authors.affiliation: Surgeon, Sunderland Royal Hospital, Sunderland, UK.
authors.forename: Mueiad
authors.initials: M
authors.lastname: El-Hassany
authors.affiliation: Orthopedist, Sunderland Royal Hospital, Sunderland, UK.
authors.forename: Bansal
authors.initials: B
authors.lastname: Parvin
mesh_terms: D000208:Acute Disease; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000009:adverse effects*; D003093:Colitis, Ulcerative / Q000188:drug therapy; D005260:Female; D005598:Fractures, Spontaneous / Q000139:chemically induced* / Q000000981:diagnostic imaging; D006801:Humans; D008682:Metatarsal Bones / Q000000981:diagnostic imaging / Q000293:injuries*; D010007:Osteochondritis / Q000139:chemically induced*; D011239:Prednisolone / Q000008:administration & dosage / Q000009:adverse effects*; D055815:Young Adult
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone
keywords: Freiberg disease; acute pathologic fracture; avascular necrosis; corticosteroids; metatarsal; osteonecrosis