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Avascular necrosis of the epiphysis of the first metatarsal bone

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Abstract.

We report a case of avascular necrosis of the epiphysis of the right first metatarsal in a 6-year-old boy. Radiographs showed sclerosis, collapse and a crescent sign in the epiphysis. The diagnosis was confirmed by magnetic resonance imaging and scintigraphy. Arch support was the therapy of choice. Six months after the onset of symptoms, a definite reossification was present. To our knowledge, this is the first radiological report of avascular necrosis of the epiphysis of the first metatarsal bone in the world literature, which prompted a review of the osteochondroses and their etiology.

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Authors and Affiliations

  1. Department of Radiology, Virga Jesse Hospital, Stadsomvaart 11, 3500 Hasselt, Belgium, , , , ,

    G. Souverijns,  P. Peene &  P. Cleeren

  2. Department of Pediatrics, Virga Jesse Hospital, Hasselt, Belgium, , , , ,

    M. Raes

  3. Department of Orthopaedics, Virga Jesse Hospital, Hasselt, Belgium, , , , ,

    A. Steenwerckx

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  1. G. Souverijns
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  2. P. Peene
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  3. P. Cleeren
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  4. M. Raes
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  5. A. Steenwerckx
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Souverijns, .G., Peene, .P., Cleeren, .P. et al. Avascular necrosis of the epiphysis of the first metatarsal bone. Skeletal Radiol 31, 366–368 (2002). https://doi.org/10.1007/s00256-002-0502-3

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  • DOI: https://doi.org/10.1007/s00256-002-0502-3

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