Abstract
Freiberg's disease, often described as a form of osteochondritis juvenalis, usually affects the second and occasionally the third metatarsal heads. It is most common in adolescent females and is associated with secondary degenerative change. The case presented is a 60-year-old female who developed Freiberg's disease in both the second and third metatarsal heads of the same foot. Whilst the coexistence of this disease in more than one metatarsal has been previously suggested 1, the authors have found no other example of this. Suggestions have been made that the second metatarsal is vulnerable to this condition because of its relatively longer length, although the explanation behind this has not been made clear. Recently, however, authors have postulated a multifactorial aetiology 2 incorporating relative metatarsal length as part of the explanation. The occurrence of the disease in adjacent metatarsal bones of different length, provides further support to a multifactorial aetiology.
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