Patients with Freiberg’s infraction typically present with complaints of activity-limiting pain at the ball of the foot. This condition most frequently affects the second metatarsal head where it meets the base of the 2nd digit. Swelling and warmth of the forefoot tissue is frequently encountered. Symptoms may begin spontaneously or may occur following a specific trauma to the area. The condition can limit forefoot motion, resulting in a limp.
Treatment includes the early identification and immobilization of the injured bone. The effects of forefoot pressure and shock experienced with physical activity must be neutralized. Trauma will result in additional damage and deformation of the bone and joint. Patients identified as having more advanced stages of this disease may require surgery to improve joint function and restore anatomy.