BEVERLY HILLS - SANTA MONICA - VALENCIA - TORRANCE - MANHATTAN BEACH
SHERMAN OAKS - WEST HILLS - UCLA - BELLFLOWER - CYPRESS - SANTA BARBARA
Frieberg’s infarction or avascular necrosis of a metatarsal head is a problem that is commonly misdiagnosed and a cause of pain for patients. There are several advances in the treatment of Frieberg’s disease that are offered by the Foot and Ankle Institute that have helped revolutionize the treatment of this difficult problem.
The cause of the problem is not fully understood but seems to be due to chronic micro-trauma and overload of the metatarsal head leading to fracture and collapse of the metatarsal head and decreased or loss of circulation to the collapsed area. Over time, arthritis and pain develop.
Conservative care for Frieberg’s infarction is through offloading of the area. During the active period of pain and early collapse, the patient is often placed in a boot or cast and on crutches to limit or completely remove weight from the metatarsal head. With time, an orthotic is made to decrease the abnormal pressure through the metatarsal head.
If there is collapse and early arthritis noted, three procedures are used to salvage the joint. The first is to remove all loose bone and spurs in the joint. In more advanced cases, the spurs are removed and the metatarsal head is shortened to decrease the abnormal stress going through the area. In cases of more advanced cartilage damage, the cartilage from the bottom of the joint is tilted upwards to resurface the joint and remove the damage cartilage on the top of the joint.
In severe cases of arthritis, the metatarsal head is removed and the area is either filled with a tendon graft or an implant is used to resurface the joint. This new resurfacing technique has allowed rapid recovery and dramatic improvement in pain and function.
University Foot and Ankle Institute is one of only a few centers in the world experienced in resurfacing of the metatarsal head. We have extensive experience with avascular necrosis of metatarsal heads and cater our treatment to the individual needs and goals of the patient. Request an appointment at one of our Los Angeles or other Southern California offices, we can help!
or fill out our Podiatrist Consultation Request Form
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