Technique for the Treatment of Freiberg Disease – A Case Report



Julián David Molano Castro1*, Karol Gabriela Rubiano Ortiz2, Nuria Boo Gustems3

1Foot and Ankle Surgeon - Hospital Universitario Mayor, MEDERI, Bogota , Colombia – Fundacio n Sanitaria Mollet, Mollet, Spain.

2Orthopaedic and Traumatology MD - Universidad del Rosario, Bogota, Colombia.

3Foot and Ankle Surgeon – Consorci Sanitari Integral, Sant Joan Despi, Spain.

*Corresponding Author: Julia n David Molano Castro, Foot and Ankle Surgeon - Hospital Universitario Mayor, MEDERI, Bogota, Colombia – Fundacio n Sanitaria Mollet, Mollet, Spain.

https://doi.org/10.58624/SVOAOR.2025.05.006

Received: March 17, 2025

Published: April 15, 2025

Citation: Molano C. JD, Rubiano O. KG, Boo G. N. Technique for the Treatment of Freiberg Disease – A Case Report. SVOA Orthopaedics 2025, 5:2, 38-41. doi: 10.58624/ SVOAOR.2025.05.006

Abstract

Avascular necrosis of the metatarsal head, as described by Freiberg, is a condition primarily characterized by pain. It most commonly affects the second metatarsal and progressively damages the involved metatarsophalangeal joint. Although several treatment techniques have been described, there is no clear evidence supporting the superiority of one approach over another. In this article, we describe a previously unreported technique used in a patient who achieved excellent results and recovery. The procedure involved excising the metatarsal head and replacing it with a tendon graft.

Keywords: Freiberg Disease, Avascular Necrosis, Metatarsal Head