https://doi.org/10.4081/pmc.2022.293
Avascular necrosis of the first metatarsal head in adolescence: A case report
Published: 28 October 2022
Abstract Views: 564
PDF: 323
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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.
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
Schade VL. Surgical management of Freiberg’s infraction. A systematic review. Foot Ankle Spec 2015;20:1-22.
Smillie IS. Treatment of Freiberg's infraction. Proc R Soc Med 1967;60:29-31.
DOI: https://doi.org/10.1177/003591576706000117
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
Seybold JD, Zide JR. Treatment of Freiberg disease. Foot Ankle Clin N Am 2018;23:157-69.
DOI: https://doi.org/10.1016/j.fcl.2017.09.011
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
Copyright (c) 2022 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Ilaria Riccio, Elvira Pota, Marco Marcarelli, Maria Carmen Affinita, Daniela Di Pinto, Cristiana Indolfi, Nicola Del Regno, Marco Esposito, Osteonecrosis as a complication in pediatric patients with acute lymphoblastic leukemia , La Pediatria Medica e Chirurgica: Vol. 38 No. 3 (2016)
- Carmine Noviello, Mercedes Romano, Letizia Trotta, Giuseppina Rosaria Umano, Alfonso Papparella, Are the complications after laparo-assisted endo-rectal pull-through for Hirschsprung disease related to the change of the anal tone? , La Pediatria Medica e Chirurgica: Vol. 46 No. 1 (2024)
- Mariapina Cerulo, Assunta Turco, Ciro Esposito, Minimally invasive pilonidal sinus disease (PSD) treatment in pediatric patients: A narrative review , La Pediatria Medica e Chirurgica: Vol. 44 No. 1 (2022)
- E. Callus, E. Quadri, A. Compare, A. Tovo, A. Giamberti, M. Chessa, Life Experiences and Coping Strategies in Adults with Congenital Heart Disease , La Pediatria Medica e Chirurgica: Vol. 35 No. 5 (2013)
- Massimo Agosti, Francesco Tandoi, Laura Morlacchi, Angela Bossi, Nutritional and metabolic programming during the first thousand days of life , La Pediatria Medica e Chirurgica: Vol. 39 No. 2 (2017)
- Roberta Barachetti, Elisabetta Villa, Mario Barbarini, Weaning and complementary feeding in preterm infants: management, timing and health outcome , La Pediatria Medica e Chirurgica: Vol. 39 No. 4 (2017)
- Alessandro Porta, Adriana Avanzini, Marta Bellini, Rosa Maria Crossignani, Stefano Fiocchi, Stefano Martinelli, Luciana Parola, Neonatal gastrointestinal involvement and congenital cytomegalovirus , La Pediatria Medica e Chirurgica: Vol. 38 No. 3 (2016)
- Giovanna Mangili, Elena Garzoli, Youcef Sadou, Feeding dysfunctions and failure to thrive in neonates with congenital heart diseases , La Pediatria Medica e Chirurgica: Vol. 40 No. 1 (2018)
- Gianluca Lista, Fabio Meneghin, Ilia Bresesti, Francesco Cavigioli, Nutritional problems of children with bronchopulmonary dysplasia after hospital discharge , La Pediatria Medica e Chirurgica: Vol. 39 No. 4 (2017)
- Rossella Angotti, Giulia Fusi, Elena Coradello, Clelia Miracco, Francesco Ferrara, Marina Sica, Alessandra Taddei, Gabriele Vasta, Mario Messina, Francesco Molinaro, Lichen sclerosus in pediatric age: A new disease or unknown pathology? Experience of single centre and state of art in literature , La Pediatria Medica e Chirurgica: Vol. 44 No. 1 (2022)
You may also start an advanced similarity search for this article.