Freiberg's infarction is a well-known condition that most commonly effects the second metatarsophalangeal joint. The etiology of Freiberg's infarction is not entirely clear and there is no consensus on treatment. The case report presents a patient successfully treated with a metatarsal shortening osteotomy, marrow stimulation, and micronized allograft cartilage matrix. This is to my knowledge the first reported case using the described technique for Freiberg's infarction. LEVELS OF EVIDENCE Therapeutic, Level V: Expert opinion.