Cargando…

Avascular necrosis of the first metatarsal head in a young female adult: A case report and review of literature

BACKGROUND: This case study describes an atypical presentation of avascular necrosis (AVN) of the first metatarsal head, which is largely unfounded in the literature. CASE SUMMARY: A healthy 24-year-old female initially presented with pain at the first metatarsophalangeal joint (MTPJ) and was diagno...

Descripción completa

Detalles Bibliográficos
Autores principales: Siu, Ronald Wing Hei, Liu, Jeremy Ho Pak, Man, Gene Chi Wai, Ong, Michael Tim Yun, Yung, Patrick Shu Hang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8464454/
https://www.ncbi.nlm.nih.gov/pubmed/34616810
http://dx.doi.org/10.12998/wjcc.v9.i25.7445
_version_ 1784572643391832064
author Siu, Ronald Wing Hei
Liu, Jeremy Ho Pak
Man, Gene Chi Wai
Ong, Michael Tim Yun
Yung, Patrick Shu Hang
author_facet Siu, Ronald Wing Hei
Liu, Jeremy Ho Pak
Man, Gene Chi Wai
Ong, Michael Tim Yun
Yung, Patrick Shu Hang
author_sort Siu, Ronald Wing Hei
collection PubMed
description BACKGROUND: This case study describes an atypical presentation of avascular necrosis (AVN) of the first metatarsal head, which is largely unfounded in the literature. CASE SUMMARY: A healthy 24-year-old female initially presented with pain at the first metatarsophalangeal joint (MTPJ) and was diagnosed with AVN by physical examination and magnetic resonance imaging. The patient demonstrated atypically poor progress in recovery, despite being in otherwise good health and being of young age, with no history of corticosteroid or alcohol use. The patient also did not have any history or clinical features of autoimmune disease or vasculitis, such as systemic lupus erythematosus. The patient was managed with conservative treatment for 18 mo, which allowed for gradual return of full range of motion of the first MTPJ and subsiding pain, permitting the patient to return to high-intensity sports training and full weight-bearing. Throughout her recovery, many differential diagnoses were ruled out through specific investigations leading to further reinforcement of the diagnosis of AVN of the 1(st) metatarsal head. CONCLUSION: Atypical AVN may occur with no predisposing risk factors. Treatment is mainly conservative, with unclear guidelines in literature on management.
format Online
Article
Text
id pubmed-8464454
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Baishideng Publishing Group Inc
record_format MEDLINE/PubMed
spelling pubmed-84644542021-10-05 Avascular necrosis of the first metatarsal head in a young female adult: A case report and review of literature Siu, Ronald Wing Hei Liu, Jeremy Ho Pak Man, Gene Chi Wai Ong, Michael Tim Yun Yung, Patrick Shu Hang World J Clin Cases Case Report BACKGROUND: This case study describes an atypical presentation of avascular necrosis (AVN) of the first metatarsal head, which is largely unfounded in the literature. CASE SUMMARY: A healthy 24-year-old female initially presented with pain at the first metatarsophalangeal joint (MTPJ) and was diagnosed with AVN by physical examination and magnetic resonance imaging. The patient demonstrated atypically poor progress in recovery, despite being in otherwise good health and being of young age, with no history of corticosteroid or alcohol use. The patient also did not have any history or clinical features of autoimmune disease or vasculitis, such as systemic lupus erythematosus. The patient was managed with conservative treatment for 18 mo, which allowed for gradual return of full range of motion of the first MTPJ and subsiding pain, permitting the patient to return to high-intensity sports training and full weight-bearing. Throughout her recovery, many differential diagnoses were ruled out through specific investigations leading to further reinforcement of the diagnosis of AVN of the 1(st) metatarsal head. CONCLUSION: Atypical AVN may occur with no predisposing risk factors. Treatment is mainly conservative, with unclear guidelines in literature on management. Baishideng Publishing Group Inc 2021-09-06 2021-09-06 /pmc/articles/PMC8464454/ /pubmed/34616810 http://dx.doi.org/10.12998/wjcc.v9.i25.7445 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
spellingShingle Case Report
Siu, Ronald Wing Hei
Liu, Jeremy Ho Pak
Man, Gene Chi Wai
Ong, Michael Tim Yun
Yung, Patrick Shu Hang
Avascular necrosis of the first metatarsal head in a young female adult: A case report and review of literature
title Avascular necrosis of the first metatarsal head in a young female adult: A case report and review of literature
title_full Avascular necrosis of the first metatarsal head in a young female adult: A case report and review of literature
title_fullStr Avascular necrosis of the first metatarsal head in a young female adult: A case report and review of literature
title_full_unstemmed Avascular necrosis of the first metatarsal head in a young female adult: A case report and review of literature
title_short Avascular necrosis of the first metatarsal head in a young female adult: A case report and review of literature
title_sort avascular necrosis of the first metatarsal head in a young female adult: a case report and review of literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8464454/
https://www.ncbi.nlm.nih.gov/pubmed/34616810
http://dx.doi.org/10.12998/wjcc.v9.i25.7445
work_keys_str_mv AT siuronaldwinghei avascularnecrosisofthefirstmetatarsalheadinayoungfemaleadultacasereportandreviewofliterature
AT liujeremyhopak avascularnecrosisofthefirstmetatarsalheadinayoungfemaleadultacasereportandreviewofliterature
AT mangenechiwai avascularnecrosisofthefirstmetatarsalheadinayoungfemaleadultacasereportandreviewofliterature
AT ongmichaeltimyun avascularnecrosisofthefirstmetatarsalheadinayoungfemaleadultacasereportandreviewofliterature
AT yungpatrickshuhang avascularnecrosisofthefirstmetatarsalheadinayoungfemaleadultacasereportandreviewofliterature