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Hi everyone, i have a lady with freiberg's fractures of the 2nd and 3rd MT, I have just fitted her with orthotics with met domes and forefoot padding, she has had extensive time in a moon boot before being referred to me. The foot is still swollen and very tender over the dorsal aspect. any comments on treatment options.

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Carbon fibre footplate inside the shoe to reduce the bending moments at the fracture site(or a rocker sole addition to her shoe - this will also stiffen the sole of the shoe)

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Hello Tony,
Please can you post a more complete history for this case? How have your arrived at your diagnosis? Do you have x-rays, etc... ? If you do, can you post them up on here so people can give you a reasonable opinion.
Thanks,
Bob

Related threads:
Other threads tagged with Osteochondroses and Freibergs disease
Freiberg's disease
11 year old female with M.P.J. pain
Advice on a Freiberg's case
Forefoot Pain in a 14 y/o

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Thanks Bob for the response, she was referred to me by an orthopod for innersoles with met domes and shoe advise, preferably rocker bottom shoes. She had xrays which I can not post at the moment. She has swelling on the dorsal aspect with tenderness. I would have though the tenderness would have been on the plantar aspect. I am concerned there may be further fractures not seen on plain xrays. Your response is appreciated.
Regards Tony

"freiberg's fractures of the 2nd and 3rd MT"

I am not familiar with this terminology. Does she have a Freiberg's (osteonecrosis limited to the 2nd MTPJ) or does she have stress fractures, or does she have multiple osteonecrosis.

Thanks

Steve

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Likewise Tony

As Bob says, can you give a full history including her age? This would give a us clue concerning the possibility of Freiburg's infraction or whether she is suffering from some other pathology.

All the best

Bill