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: 567
PDF: 325
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
- Mauro Cinquetti, Marco Biasin, Marco Ventimiglia, Linda Balanzoni, Denise Signorelli, Angelo Pietrobelli, Functional gastrointestinal disorders, lifestyle habits, and smartphone addiction in adolescents , La Pediatria Medica e Chirurgica: Vol. 43 No. 1 (2021)
- Elisa Cerchia, Carmine Noviello, Giovanni Torino, Edoardo Bindi, Francesca Mariscoli, Giovanni Cobellis, Thoracoscopic excision of asymptomatic antenatally diagnosed mediastinal bronchogenic cysts: A case report , La Pediatria Medica e Chirurgica: Vol. 43 No. 2 (2021)
- Michele Corroppolo, Elisa Pani, Maria Teresa Bortolami, Hamid Reza Sadri, Fabio Beretta, Clara Revetria, Giosuè Mazzero, Enrico Ciardini, Caecal duplication, a case report , La Pediatria Medica e Chirurgica: Vol. 43 No. 2 (2021)
- Mario Lima, Sara Ugolini, Niel Di Salvo, Michele Libri, Tommaso Gargano, Giovanni Ruggeri, A unique case of foreign body aspiration and recurrent pneumothorax , La Pediatria Medica e Chirurgica: Vol. 39 No. 4 (2017)
- Elisabetta Villa, Roberta Barachetti, Mario Barbarini, Nutritional management of preterm newborn after hospital discharge: energy and nutrients , La Pediatria Medica e Chirurgica: Vol. 39 No. 4 (2017)
- Roberto Bellù, Manuela Condò, Breastfeeding promotion: evidence and problems , La Pediatria Medica e Chirurgica: Vol. 39 No. 2 (2017)
- Mario Lima, Tommaso Gargano, Giovanni Ruggeri, Francesca Destro, Michela Maffi, Laparoscopic treatment of congenital choledochal cyst and hepaticojejunostomy with extracorporeal Roux-en-Y anastomosis: technical aspects and early experience with three cases , La Pediatria Medica e Chirurgica: Vol. 38 No. 2 (2016)
- Ismael José Dorta Luis, Paloma González Carretero, Carmen Luz Marrero Pérez, Ignacio Hernández Cabezudo, Antonio López Figueroa, Andrea González Palau, Pulling out a broken catheter using interventional radiology in a preterm. Neonatal intensive care , La Pediatria Medica e Chirurgica: Vol. 43 No. 1 (2021)
- Valentina Bozzetti, Paolo E. Tagliabue, Enteral feeding of intrauterine growth restriction preterm infants: theoretical risks and practical implications , La Pediatria Medica e Chirurgica: Vol. 39 No. 2 (2017)
- Luisella Pedrotti, Barbara Bertani, Gabriella Tuvo, Redento Mora, Luca Marin, Federica De Rosa, Achilles tendon surgery in clubfoot: Are long term sequelae predictable? , La Pediatria Medica e Chirurgica: Vol. 44 No. 1 (2022)
You may also start an advanced similarity search for this article.