Skip to main content
SpringerLink
Log in

Freiberg's disease in diabetes mellitus

  • Articles
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

We evaluated a total of 13 cases of Freiberg's disease in patients aged 47–77 years collected over an 8-year period. Seven were associated with diabetes mellitus and one with chronic renal failure; the remainder had no underlying disease. Atrophy of intrinsic small foot muscles secondary to neuropathy, which is prevalent in diabetes mellitus, may play a part in the development of Freiberg's infraction.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Amano M, Ohsawa S, Saito S, etal. (1990) Multiple osteonecrosis associated with allergic dermatomyositis. Arch Orthop Trauma Surg 109:170

    Google Scholar 

  2. Binek R, Levinsohn EM, Bersani F, et al. (1988) Freiberg's disease complicating unrelated trauma. Orthopedics 11:753

    Google Scholar 

  3. Braddock GTF (1959) Experimental epiphyseal injury and Freiberg's disease. J Bone Joint Surg [Br] 41:154

    Google Scholar 

  4. Cauthier G, Elbaz R (1978) Freiberg's infraction: a subchondral bone fatigue fracture. Clin Orthop 142:93

    Google Scholar 

  5. Cofield RH, Morrison MJ, Beabout TW (1983) Diabetic neuroarthropathy in the foot: patient characteristics and patterns of radiographic change. Foot Ankle 4:15

    CAS  PubMed  Google Scholar 

  6. Freiberg AH (1914) Infraction of the second metatarsal bone. Surg Gynecol Obstet 19:191

    Google Scholar 

  7. Friedman SA, Rakow RB, Brooklyn PD (1990) Osseous lesions of the foot in diabetic neuropathy. Diabetes 20:302

    Google Scholar 

  8. Geoffrey J, Hoeffel TC, Drovin P, etal. (1979) The feet in diabetes. Roentgenographic observation in 1501 cases. Diagnostic Imaging 48:286

    Google Scholar 

  9. Gertner E, Sukenik S, Gladman D, etal. (1990) HLA antigens and nailfold capillary microscopy studies in patients with insulin dependent and non-insulin dependent diabetes mellitus and limited joint mobility. J Rheumatol 17:1375

    Google Scholar 

  10. Gottschalk F, Powell M, Mooney V (1985) Management of the diabetic neurotrophic foot. Cardiovasc Rev Rep 6(11): 1235

    Google Scholar 

  11. Greene DA (1987) Diabetic complications. Somatic neuropathies. Drug Ther 17:91

    Google Scholar 

  12. Hennessy O (1984) Case report 264: diabetic neuropathic disorder with bilateral Lisfranc fracture of feet. Skeletal Radiol 11:155

    Google Scholar 

  13. Mandell GA, Harcke HT (1987) Scintigraphic manifestations of infraction of the second metatarsal (Freiberg's disease). J Nucl Med 28:249

    Google Scholar 

  14. McMaster MJ (1978) The pathogenesis of hallux rigidus. J Bone Joint Surg [Br] 60:82

    Google Scholar 

  15. Newman JH (1979) Spontaneous dislocation in diabetic neuropathy. J Bone Joint Surg [Br] 61:484

    Google Scholar 

  16. Newman JH, Wagner FW (1978) Classification and management of diabetic osteopathy. J Bone Joint Surg [Br] 60:142 (abstr)

    Google Scholar 

  17. Omer GE (1981) Primary articular osteochondroses. Clin Orthop 158:33

    Google Scholar 

  18. Podolsky S (1990) Diabetic complications. The diabetic foot. In: Levin ME. Diabetes mellitus in the elderly. Raven, New York

    Google Scholar 

  19. Pogonowska MJ, Collins LC, Dobson HL (1967) Diabetic osteopathy. Radiology 89:265

    Google Scholar 

  20. Reinhardt K (1981) The radiological residue of healed diabetic arthopathies. Skeletal Radiol 7:167

    Google Scholar 

  21. Resnick D, Niwayama G (1988) Diagnosis of joint and bone disorders, 2nd edn. W.B. Saunders, Philadelphia

    Google Scholar 

  22. Riddle M (1990) Diabetic neuropathies in the elderly: management update. Geriatrics 45:32

    Google Scholar 

  23. Resnick D, Pinepa C, Trudell D (1985) Widespread osteonecrosis of the foot in systemic lupus erythematosus: radiographic and gross pathologic correlation. Skeletal Radiol 13:33

    Google Scholar 

  24. Scartozzi G, Schram A, Janigian T (1989) Freiberg's infraction of the second metatarsal head with formation of multiple loose bodies. J Foot Surg 28:195

    Google Scholar 

  25. Smillie IS (1967) Treatment of Freiberg's infraction. Proc R Soc Lond 60:29

    Google Scholar 

  26. Stanley D, Betts RP, Rowley DI, etal. (1990) Assessment of etiologic factors in the development of Freiberg's disease. J Foot Surg 29:444

    Google Scholar 

  27. Trott AW (1982) Developmental disorders. In: Jahss MH (ed) Disorders of the foot, vol 1. W.B. Saunders, Philadelphia

    Google Scholar 

  28. Walsh HPJ, Dorgan JC (1988) Etiology of Freiberg's disease: trauma. J Foot Surg 27:243

    Google Scholar 

  29. Wiley JJ, Thurston P (1981) Freiberg's disease. J Bone Joint Surg [Br] 63:459

    Google Scholar 

  30. Young JR (1988) Foot problems in diabetic patients. Cleveland Clinic J Med 55:458

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, The University of Texas Health Science Center at San Antonio, Texas, USA

    Vung D. Nguyen M.D. & Robert W. Daehler M.D.

  2. Division of Podiatry, Department of Orthopedics, The University of Texas Health Science Center at San Antonio, Texas, USA

    Richard A. Keh D.P.M.

Authors
  1. Vung D. Nguyen M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Richard A. Keh D.P.M.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Robert W. Daehler M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nguyen, V.D., Keh, R.A. & Daehler, R.W. Freiberg's disease in diabetes mellitus. Skeletal Radiol. 20, 425–428 (1991). https://doi.org/10.1007/BF00191084

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00191084

Key words

Search

Navigation