Freiberg infraction. A, Uncommon location. B, Three years after joint debridement and remodeling of metatarsal head, motion is limited but patient is active and asymptomatic. C, Freiberg infraction of third metatarsal head in teenage girl (arrow). D, One year later, second metatarsal head also is involved; arrows show Freiberg infractions on second and third metatarsal heads. Patient had hemoglobinopathy. (C and D courtesy of Steve Ikard, MD.)