Avascular necrosis of the first metatarsal head in adolescence: A case report

Published: 28 October 2022
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Authors

Avascular necrosis (AVN) of the first metatarsal (MTT) head is an uncommon condition and it occurs most often as a complication after capital osteotomy in correction of hallux valgus deformity. Idiopathic osteonecrosis of the first MTT head in adolescent are rare and treatment is challenging (1,2). Many conditions have been proposed as predisposing factors of AVN, including trauma, hemoglobinopathies such as sickle-cell disease, steroid therapy, Cushing’s disease, alcoholism, Gaucher’s disease, Caisson’s disease, and irradiation (3,4). However, etiology remains elusive. We described a case of an idiopathic AVN of the 1st MTT in adolescent treated by dorsal closing-wedge osteotomy, which to the authors’ knowledge has not been described before.

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Citations

Fu FH, Gomez W. Bilateral avascular necrosis of the first metatarsal head in adolescence. A case report. Clin Orthop Relat Res 1989;246:282-4. DOI: https://doi.org/10.1097/00003086-198909000-00039
Gurevich M, Bialik V, Eidelman M, et al. Avascular necrosis of the 1st metatarsal head. Acta Chir Orthop Traumatol Cech 2008;75:396-8.
Siu RWH, Liu JHP, Man GCW, et al. Avascular necrosis of the first metatarsal head in a young female adult: a case report and review of literature. World J Clin Cases 2021;9:7445-52. DOI: https://doi.org/10.12998/wjcc.v9.i25.7445
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Kwon YU, Choi JS, Kong GM, et al. Idiopathic avascular necrosis of first metatarsal head in a pediatric patient. J Foot Ankle Surg 2017;56:683-6. DOI: https://doi.org/10.1053/j.jfas.2017.01.050
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Meier P, Kenzora JE. The risks and benefits of distal first metatarsal osteotomies. Foot Ankle 1985;6:7-17. DOI: https://doi.org/10.1177/107110078500600103

How to Cite

Luppi, V., Corradin, M., Schiavon, R., Pierantoni, S., & Micaglio, A. (2022). Avascular necrosis of the first metatarsal head in adolescence: A case report. La Pediatria Medica E Chirurgica, 44(s1). https://doi.org/10.4081/pmc.2022.293

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