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
- G. Piergallini, A. Malerba, L. Mazzucchelli, L. Strohmenger, Generalized aggressive periodontitis in prepubertal age: description and comparison of two cases , La Pediatria Medica e Chirurgica: Vol. 36 No. 4 (2014)
- 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)
- Majid Reza Akbarizadeh, Fereshteh Ghaljaei, Alireza Hasanzadeh, Abdolghani Abdollahimohammad, Mahin Naderifar, The effect of an educational program on illness uncertainty in mothers of children with type 1 diabetes: a quasi-experimental study , La Pediatria Medica e Chirurgica: Vol. 46 No. 1 (2024)
- Salvatore Fabio Chiarenza, Lorenzo Costa, Maria Luisa Conighi, Elisa Zolpi, Lorella Fasoli, Giulia Brooks, Enrico La Pergola, Cosimo Bleve, GERD surgery in non-neurologic patients: Modified Laparoscopic Hill-Snow Repair is a valid alternative to Nissen fundoplication. Results of a 20 years of follow-up , La Pediatria Medica e Chirurgica: Vol. 45 No. 1 (2023)
- Agostino Berio, Attilia Piazzi, Carlo Enrico Traverso, Kearns-Sayre syndrome with facial and white matter extensive involvement: a (mitochondrial and nuclear gene related?) neurocristopathy? , La Pediatria Medica e Chirurgica: Vol. 39 No. 4 (2017)
- A. Berio, G. Mangiante, A. Piazzi, Association of severe myoclonic epilepsy of infancy (SMEI) with probable autoimmune lymphoproliferative syndrome-variant , La Pediatria Medica e Chirurgica: Vol. 36 No. 5-6 (2014)
- Alessandro Calisti, Diaaeldinn Yaseen Salman, Kibreab Belay, Andrea Mombo, Boniphace Tresphory, Giovanni Giuliani, Martina Sertori, Gian Battista Parigi, The hidden burden of Pediatric urology in Sub-Saharan Africa: an analysis of hospital admission data from three East African Health Centres , La Pediatria Medica e Chirurgica: Vol. 46 No. 1 (2024)
- Muhammad Faizi, Nur Rochmah, Soetjipto Soetjipto, Anang Endaryanto, Sukmawati Basuki, Yuni Hisbiyah, Rayi Kurnia Perwitasari, Protein tyrosine phosphatase non-receptor type 22 C1858T gene polymorphism in children with Down syndrome and autoimmune thyroid diseases , La Pediatria Medica e Chirurgica: Vol. 45 No. 1 (2023)
- Kibwe Alphonse Simbi, Valentin Kazadi, Louis-Marie Aissi, François Mbahewaka Katsuva, Numbi Oscar Luboya, Léon Tshilolo, Vincenzo Zanardo, Pediatric pleural empyema: one of the management challenges in children of Democratic Republic of Congo , La Pediatria Medica e Chirurgica: Vol. 39 No. 2 (2017)
- E. Quadri, C. Farè, E. Palmero, G. Campioni, M. Chessa, E. Callus, Art therapy for hospitalised congenital heart disease patients: a method of psychological intervention at the IRCCS Policlinico San Donato Milanese Hopsital , La Pediatria Medica e Chirurgica: Vol. 34 No. 6 (2012)
You may also start an advanced similarity search for this article.