Paediatric: Freiberg infraction: practice question

A Orthopaedics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Orthopaedics · Paediatric: Freiberg infraction

Sample item

An adolescent girl has pain at the ball of the foot with flattening and sclerosis of the second metatarsal head. What is the diagnosis?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Freiberg infraction

Freiberg infraction is osteochondrosis of the second (or third) metatarsal head, most often in adolescent girls, with pain and stiffness of the metatarsophalangeal joint. Initial treatment is rest and footwear modification.

Option by option

  • A. March fracture

    March fracture is a stress fracture of the metatarsal neck.

  • B. Kohler disease

    Kohler disease is of the navicular.

  • C. Freiberg infraction (correct)

    Correct. Metatarsal head collapse points to Freiberg infraction.

  • D. Morton neuroma

    Morton neuroma is an interdigital nerve lesion with no bone change.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is C, Freiberg infraction. Freiberg infraction is osteochondrosis of the second (or third) metatarsal head, most often in adolescent girls, with pain and stiffness of the metatarsophalangeal joint.

Why is "March fracture" not the answer?

March fracture is a stress fracture of the metatarsal neck.

Why is "Kohler disease" not the answer?

Kohler disease is of the navicular.

Why is "Morton neuroma" not the answer?

Morton neuroma is an interdigital nerve lesion with no bone change.

What concept does this question test?

It tests Paediatric: Freiberg infraction in Orthopaedics. Initial treatment is rest and footwear modification.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Paediatric: Freiberg infraction?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.