ABSTRACT

Aims:

Frieberg’s disease is a chronic painful condition characterized by avascular necrosis of metatarsal head. With this case report, we aimed to analyze the gait pattern of a case presented with Frieberg’s disease.

Case Report:

A 20-year-old female patient (body weight: 50 kg, height: 1.64 m, body mass index: 18.5 kg/m2) with a known Frieberg’s disease during the last 6 years is presented. Her physical examinations showed no anatomical deformity of the foot such as hallux valgus or pes planus. The diagnosis of chronic stage Frieberg’s disease was verified by a conventional posteroanterior X-ray imaging of foot. Gait analysis was performed during a painless period after physical and medical therapy. The average pressure distribution during stance phase was altered due to longterm protective behavior. There was a larger foot rotation on the affected side compared to the intacted side.

Conclusion:

We considered that this gait pattern is not forced as in the primary pathologies or compensatory. Rather it may be accepted as volitional.