532 results match your criteria Metatarsal Stress Fracture


A comparative overview of metatarsal stress fractures in premenopausal and postmenopausal women: our single-centre experience with eighty-one patients.

Int Orthop 2020 Jun 30. Epub 2020 Jun 30.

Department of Orthopaedics and Traumatology, Nisa Hospital, Bahcelievler, 34196, Istanbul, Turkey.

Purpose: To compare the demographic, clinical, and laboratory features of metatarsal bone stress fractures encountered in premenopausal and postmenopausal women.

Methods: This retrospective study was carried out in the orthopaedics and traumatology department of our tertiary care centre. Data were collected from the hospital records of a total of 81 women (average age 42. Read More

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http://dx.doi.org/10.1007/s00264-020-04528-7DOI Listing

Stress Distributions and Micromovement of Fragment Bone of Pilon Fracture Treated With External Fixator: A Finite Element Analysis.

J Foot Ankle Surg 2020 Jul - Aug;59(4):664-672

Professor, Sports Innovation and Technology Centre (SITC), Institute of Human Centered Engineering (iHumEn), Universiti Teknologi Malaysia, Johor, Malaysia.

Osteoporosis and osteoarthritis are common pathological problems of the human bone tissue. There are some cases of pilon fractures associated with these 2 pathological conditions. In terms of treatment, for a normal and healthy bone with pilon fracture, the use of the Delta external fixator is a favorable option because it can allow early mobilization for patients and provide stability for the healing process. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.09.006DOI Listing
November 2018

Conservative treatment of refractures after modified tension band wiring of fifth metatarsal base stress fractures in athletes.

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(2):2309499020926282

Seoul Medical Center, Seoul, Republic of Korea.

Objective: Recurrent fifth metatarsal base stress fractures (MT5-BSF) in athletes present a challenging problem. The aim of this study was to evaluate the result of conservative treatment for the refracture of MT5-BSF after modified tension band wiring (MTBW).

Materials And Methods: The outcomes of 15 elite athletes undergoing conservative treatment for refracture of MT5-BSF after MTBW were retrospectively reviewed. Read More

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http://dx.doi.org/10.1177/2309499020926282DOI Listing

Recurrent fifth metatarsal stress fractures in a professional soccer player with hypoparathyroidism: a case report.

BMC Musculoskelet Disord 2020 Jun 3;21(1):347. Epub 2020 Jun 3.

Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai, Showa-ku, Nagoya, Aichi, 466-8550, Japan.

Background: Hypoparathyroidism is characterized by low or inappropriately normal levels of parathyroid hormone leading to hypocalcemia. In this report, a case of recurrent fifth metatarsal stress fractures in a professional soccer player with hypoparathyroidism is presented.

Case Presentation: A 23-year-old male professional soccer player developed left foot pain. Read More

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http://dx.doi.org/10.1186/s12891-020-03383-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7271481PMC

Incorporating subject-specific geometry to compare metatarsal stress during running with different foot strike patterns.

J Biomech 2020 May 9;105:109792. Epub 2020 Apr 9.

Sport and Health Sciences, University of Exeter, Exeter, UK.

Stress fracture of the second metatarsal is a common and problematic injury for runners. The choice of foot strike pattern is known to affect external kinetics and kinematics but its effect on internal loading of the metatarsals is not well understood. Subject-specific models of the second metatarsal can be used to investigate internal loading in a non-invasive manner. Read More

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http://dx.doi.org/10.1016/j.jbiomech.2020.109792DOI Listing

A cross-sectional study on foot loading patterns in elite soccer players of different ages.

J Back Musculoskelet Rehabil 2020 Apr 7. Epub 2020 Apr 7.

Division of Orthopedic Rheumatology, Department of Orthopedic, Surgery Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany.

Background: Alterations in plantar loading patterns are risk factors for stress injuries of the lower limb, particularly of the foot and ankle. Epidemiological studies have revealed a higher incidence of soccer-related stress fractures of the fifth metatarsal (MT V) in younger athletes than in their adult counterparts.

Objective: The aim of the present study was to assess the plantar pressure distributions of members of four high-level soccer teams of different age groups to identify age-related differences in loading patterns. Read More

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http://dx.doi.org/10.3233/BMR-181436DOI Listing

The Epidemiology of Metatarsal Fractures Among Older Females With Bisphosphonate Exposure.

J Foot Ankle Surg 2020 Mar - Apr;59(2):269-273

Research Scientist, Division of Research, Kaiser Permanente Northern California, Oakland, CA. Electronic address:

Bisphosphonates (BP) are used to treat osteoporosis, although rare atypical femur fractures have occurred with long-term exposure, especially among Asians. Metatarsal fractures have also been reported with atypical femur fracture. We examined the epidemiology of metatarsal fractures among 48,390 females aged ≥50 years who initiated oral BP and were followed for a median 7. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.02.008DOI Listing
November 2018

Metacarpal Stress Fracture Is Not an Uncommon Condition in Adolescent Racket Athletes.

Case Rep Orthop 2020 8;2020:5840925. Epub 2020 Feb 8.

Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, Japan 036-8562.

Background: Stress fractures of the metacarpal bones are considered uncommon. We report on 11 adolescent athletes with these stress fractures, successfully treated with cessation of sports activities. . Read More

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http://dx.doi.org/10.1155/2020/5840925DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7031721PMC
February 2020

Can we identify individuals with an ALPL variant in adults with persistent hypophosphatasaemia?

Orphanet J Rare Dis 2020 Feb 17;15(1):51. Epub 2020 Feb 17.

Department of Rheumatology, La Paz University Hospital, IdiPAZ, Paseo de la Castellana, 261, 28046, Madrid, Spain.

Background: Hypophosphatasia (HPP) is an inborn error of metabolism characterized by low levels of serum alkaline phosphatase (ALP). Scarce evidence exists about features that should signal the potential association between hypophosphatasaemia and HPP in adults. The aim of this study is to estimate the prevalence of ALPL variants in subjects with persistent hypophosphatasaemia and determine the associated clinical and laboratory features. Read More

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http://dx.doi.org/10.1186/s13023-020-1315-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026995PMC
February 2020

Incidence of Undiagnosed Celiac Disease Presenting as Bone Stress Injuries to a Sport and Exercise Medicine Clinic.

Clin J Sport Med 2020 Feb 6. Epub 2020 Feb 6.

Department of Sport and Exercise Medicine, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Oxford, United Kingdom.

Objective: To evaluate the incidence of undiagnosed celiac disease (CD) in patients presenting with bone stress injuries (BSI) to a NHS Sport and Exercise Medicine (SEM) clinic.

Design: Retrospective cohort study.

Setting: Single tertiary-level SEM clinic. Read More

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http://dx.doi.org/10.1097/JSM.0000000000000820DOI Listing
February 2020

[Lesion clearance combined with Ilizarov technique for treatment of tophi in first metatarsophalangeal joint with bone defect].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Feb;34(2):168-172

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.

Objective: To evaluate the effectiveness of lesion clearance combined with Ilizarov technique for the treatment of tophi in first metatarsophalangeal (MTP) joint with bone defect.

Methods: Between July 2016 and June 2018, 14 cases of tophi in the first MTP joint with bone defect were treated by lesion clearance combined with Ilizarov technique. There were 12 males and 2 females. Read More

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http://dx.doi.org/10.7507/1002-1892.201907063DOI Listing
February 2020

Approaching Foot and Ankle Injuries in the Ambulatory Setting.

Prim Care 2020 Mar 17;47(1):133-145. Epub 2019 Oct 17.

University of South Carolina School of Medicine-Greenville, Greenville, SC, USA; Department of Family Medicine, Prisma Health, 877 West Faris Road, Greenville, SC 29605, USA.

Foot and ankle injuries account for a significant volume of primary care office visits each year. Given the incidence of injury and concern for long-term sequelae, it is imperative that primary care physicians familiarize themselves with commonly encountered foot and ankle injuries. Coupling a sound understanding of key anatomic structures with an appropriately gathered history can help to quickly narrow the differential diagnosis in this clinical presentation. Read More

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http://dx.doi.org/10.1016/j.pop.2019.10.007DOI Listing

Operative Results of Plantar Plating for Fifth Metatarsal Stress Fracture.

Foot Ankle Int 2020 Apr 6;41(4):419-427. Epub 2020 Jan 6.

Foot and Ankle Service, KT Lee's Orthopedic Hospital, Seoul, Korea.

Background: The treatment of fifth metatarsal stress fractures can be challenging. Various operative fixation methods have been reported for fracture management. Among them, intramedullary screw fixation has become increasingly popular. Read More

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http://dx.doi.org/10.1177/1071100719895273DOI Listing

Pathoanatomy of the Jones Fracture in Male University Soccer Players.

Am J Sports Med 2020 02 30;48(2):424-431. Epub 2019 Dec 30.

Department of Orthopaedic Surgery, Kishima Honin Hospital, Osaka, Japan.

Background: Jones fractures are relatively common in soccer players and require an extended recovery period because this type of fracture has a high incidence of delayed union, nonunion, and refracture. There has been some previous research on risk factors for Jones fracture, but no study has yet investigated the effect of the length of the fifth metatarsal bone and the positional relationship of the articular surface of the fifth metatarsal bones and the tarsal bones. Clarification of the characteristics of the foot structure that predispose soccer players to Jones fracture may aid in the prevention of this injury. Read More

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http://dx.doi.org/10.1177/0363546519893365DOI Listing
February 2020

Accelerated Cortical Osteolysis of Metatarsals in Charcot Neuroarthropathy: A Cross-Sectional Observational Study.

JBMR Plus 2019 Dec 5;3(12):e10243. Epub 2019 Nov 5.

Department of Psychology, St. Louis School of Medicine Washington University St. Louis MO USA.

Metatarsals are frequent sites of stress and fragility fractures in younger athletic populations and aging older adults. Metatarsal fractures are particularly common in Charcot neuroarthropathy (CN), a complication of diabetes mellitus (DM) and peripheral neuropathy (PN). Neuropathic metatarsal fractures may be caused by an accelerated cortical bone osteolysis and may be reflected as geometric-derived strength estimates from standard foot radiographs. Read More

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http://dx.doi.org/10.1002/jbm4.10243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6894723PMC
December 2019

Unexpected Hurdle in the Race: Hypophosphatasia Unmasked by the Female Athlete Triad.

Curr Sports Med Rep 2019 Dec;18(12):434-436

Division of Sports Medicine, Departments of Orthopedic Surgery and Pediatrics, NYU Langone Medical Center, New York, NY.

Hypophosphatasia should be considered for any patient who presents with multiple metatarsal stress fractures and a low alkaline phosphatase. Read More

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http://dx.doi.org/10.1249/JSR.0000000000000664DOI Listing
December 2019

A novel method for internal fixation of basal fifth metatarsal fracture in athletes: a cadaveric study of the F.E.R.I. technique (Fifth metatarsal, Extra-portal, Rigid, Innovative).

J Exp Orthop 2019 Nov 11;6(1):45. Epub 2019 Nov 11.

2nd Clinic of Ortopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

Purpose: One of the main problems of Kirschner wire fixation of fifth metatarsal base fractures (in combination with a tension band wiring technique) seems to be hardware intolerance and several studies in athletes also report failure after isolated fixation with a screw only. These reports prompted us to look at new materials and a novel technique through fixation with an intramedullary screw combined with a high-resistance suture via the presented F.E. Read More

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http://dx.doi.org/10.1186/s40634-019-0213-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848546PMC
November 2019

Atypical Tibial Fracture in a 63-Year-Old Woman With Intermittent Use of Bisphosphonate Unmasking Hypophosphatasia.

J Endocr Soc 2019 Nov 13;3(11):2082-2087. Epub 2019 Aug 13.

Department of Endocrinology and Diabetes, Townsville Hospital, Douglas, Queensland, Australia.

We report an unusual case of atypical proximal tibial stress fracture (APTF) associated with intermittent use of bisphosphonates (BPs) and persistently low serum alkaline phosphatase (ALP) levels. We describe the case of a 63-year-old white woman who had experienced an APTF after 4 years of intermittent exposure to alendronate given for recurrent metatarsal stress fractures. BP administration was stopped after the diagnosis of the APTF. Read More

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http://dx.doi.org/10.1210/js.2019-00265DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6812732PMC
November 2019

Repair of thumb defect by using the toenail flap: biomechanical analysis of donor foot-a retrospective cohort study.

J Orthop Surg Res 2019 Sep 2;14(1):287. Epub 2019 Sep 2.

Department of Hand Surgery, The Third Affiliated Hospital Of Hebei Medical University, Shijiazhuang, 050017, Hebei, People's Republic of China.

Background: The thumb accounts for 50% of the total hand function. This study reports the functional outcomes and complications of people with traumatic thumb amputations who underwent toe-to-thumb reconstruction.

Methods: From January 2013 to January 2018, 29 patients with second-degree thumb defect underwent thumb reconstruction with distal phalangeal braided toenail flap. Read More

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http://dx.doi.org/10.1186/s13018-019-1330-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6721015PMC
September 2019
3 Reads
1.577 Impact Factor

Fracture of a Bipartite Medial Hallux Sesamoid Masquerading as a Tripartite Variant: A Case Report and Review of the Literature.

J Foot Ankle Surg 2019 Sep 23;58(5):980-983. Epub 2019 Jul 23.

Associate Consultant Radiologist, Department of Radiology, Changi General Hospital, Singapore.

We report a case of a competitive athlete who complained of chronic pain over the first metatarsal head in the absence of preceding trauma that was exacerbated with forced plantar flexion of the big toe. Initial radiographic findings suggested a tripartite appearance of the medial hallux sesamoid, and the patient was treated as for sesamoiditis. However, persistent symptoms over a period of 12 months necessitated further imaging with magnetic resonance, which confirmed a fracture of the bipartite medial hallux sesamoid. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.12.019DOI Listing
September 2019
3 Reads

Tc-99m HDP Single Photon Emission Computed Tomography/Computed Tomography in Stress Fracture of Base of Metatarsal Bone.

Indian J Nucl Med 2019 Jul-Sep;34(3):251-253

Department of Nuclear Medicine, Kuwait Cancer Control Center, Khaitan, Kuwait.

Proximal metatarsal stress fractures are common at base of the second metatarsal, typically seen in repetitive impact athletes, dancers, and those with cavus feet. It is caused by increased bone resorption rather than formation in a state of abrupt increased physical activity or intensity, leading to repetitive microfractures and eventually stress fracture. It is characterized by swelling and tenderness of a prolonged duration. Read More

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http://dx.doi.org/10.4103/ijnm.IJNM_68_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6593954PMC
July 2019
2 Reads

Subchondroplasty of the Foot: Two Case Reports.

J Foot Ankle Surg 2019 Sep 29;58(5):989-994. Epub 2019 Jun 29.

Medical Researcher, UnityPoint Health, Des Moines, IA; Adjunct Faculty, Carver College of Medicine, University of Iowa, Iowa City, IA.

Early avascular necrosis of metatarsal heads and cuboid injuries are uncommon conditions encountered by foot and ankle specialists. Treatment options are limited and typically include long periods of offloading or non-weightbearing. There is limited published information on alternative treatment approaches for such pathologies when conservative therapies fail. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.12.007DOI Listing
September 2019
3 Reads

Cuboid Edema Syndrome Following Fixation of Proximal Fifth Metatarsal Fractures in Professional Athletes.

Foot Ankle Spec 2019 Aug 27;12(4):373-379. Epub 2019 Jun 27.

Foot and Ankle Service, Department of Orthopaedic Surgery, Hospital for Special Surgery, New York.

Stress fractures of the proximal fifth metatarsal are common injuries in elite athletes. Fixation using an intramedullary screw represents the most popular surgery performed for treating these injuries, with excellent results in most cases. However, multiple reports in the literature highlight the possibility of painful hardware, usually related to the presence of the screw head, following intramedullary fixation In this case report, we outline 4 cases of professional athletes who developed lateral-based foot symptoms following complete healing of their surgically treated proximal fifth metatarsal fractures and were found to have significant cuboid edema on magnetic resonance images. Read More

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http://dx.doi.org/10.1177/1938640019857798DOI Listing
August 2019
5 Reads

Comparison of plantar loads among runners with different strike patterns.

J Sports Sci 2019 Sep 28;37(18):2152-2158. Epub 2019 May 28.

a School of Kinesiology , Shanghai University of Sport , Shanghai , China.

This study aimed to explore the plantar loading variables between habitual rearfoot strike (RFS) and non-rearfoot strike (NRFS) during running. 78 healthy males participated in this study (41 RFS, 37 NRFS). In-shoe pressure sensors were used to measure plantar loading while the participants were running on a 15 m indoor runway with their preferred foot strike pattern (FSP) at 12. Read More

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http://dx.doi.org/10.1080/02640414.2019.1623990DOI Listing
September 2019
19 Reads

Stress fracture of the midshaft clavicle associated with sternocostoclavicular hyperostosis-Case report.

Int J Surg Case Rep 2019 19;58:121-126. Epub 2019 Apr 19.

Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba City, Chiba, 260-8677, Japan. Electronic address:

Introduction: Stress fracture is generally a result of cumulative and repetitive stress in athletes, which accelerates the normal remodeling process of bones, and the most frequently involved areas are the tibia and metatarsal bones. Therefore, stress fractures of the midshaft of the clavicle are very rare.

Presentation Of Case: A 58-year-old female was admitted to our hospital because of pain in the middle of the right clavicle. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.03.059DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6488687PMC
April 2019
11 Reads

Playing football on artificial turf as a risk factor for fifth metatarsal stress fracture: a retrospective cohort study.

BMJ Open 2019 02 20;9(2):e022864. Epub 2019 Feb 20.

Department of Orthopaedics and Sports Medicine, Juntendo University, Tokyo, Japan.

Objective: The fifth metatarsal stress fracture is a common injury among football players. Although several risk factors have been proposed, the association between the playing surface and development of fifth metatarsal stress fractures (MT-5) has not been evaluated. We conducted an epidemiological study using a computer-based survey to investigate the association between the playing surface and development of MT-5. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-022864DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398723PMC
February 2019
7 Reads

Ankle Structures of Professional Soccer (Football) Players With Proximal Diaphyseal Stress Fractures of the Fifth Metatarsal.

J Foot Ankle Surg 2019 May 11;58(3):489-491. Epub 2019 Feb 11.

Department of Orthopaedic Surgery and Rheumatology, Kyoto Shimogamo Hospital, Kyoto, Japan.

Despite a high incidence of proximal diaphyseal stress fractures of the fifth metatarsal (zone 3) in soccer (football) players, studies that examine risk factors of the fractures in professional soccer players are scarce; in particular, ankle structures have not yet been investigated. This study was designed to investigate ankle structures of professional soccer players with proximal diaphyseal stress fractures of the fifth metatarsal. We reviewed the ankle radiographs of 100 professional soccer players (stress fractures n = 15; controls n = 85) and measured the medial malleolar slip angle (MMSA), the ratio of the medial malleolar length to the width of the talar dome (MML:TD ratio), the ratio of the lateral malleolar length to the width of the TD (LML:TD ratio), and the ratio of the MML to the LML (MML:LML ratio). Read More

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http://dx.doi.org/10.1053/j.jfas.2018.09.024DOI Listing
May 2019
6 Reads
0.979 Impact Factor

Plantar pressure changes in hindfoot relief devices of different designs.

J Exp Orthop 2019 Feb 7;6(1). Epub 2019 Feb 7.

Department of Orthopaedics, Trauma and Hand Surgery, Klinikum Osnabrück, Osnabrück, Germany.

Background: It is frequently observed that overloading the foot can impair bone and soft tissue healing and can lead to harmful sequelae (i.e. ulcers, stress reactions) in context of pre-existing tissue disabilities. Read More

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http://dx.doi.org/10.1186/s40634-019-0173-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367492PMC
February 2019
9 Reads

Magnetic resonance imaging of subchondral insufficiency fractures of the lower limb.

Skeletal Radiol 2019 Jul 31;48(7):1011-1021. Epub 2019 Jan 31.

Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK.

Subchondral insufficiency fracture (SIF) is a non-traumatic condition that has historically been associated with elderly, osteoporotic women and patients with systemic conditions. There has been much work done to determine the pathogenesis of SIF, which has previously been regarded as idiopathic, rapid-progressive osteoarthritis or osteonecrosis of the hip, spontaneous osteonecrosis of the knee (SONK), osteochondral defect (OCD) of the talus and adult-onset Freiberg infraction of the metatarsal head. Early diagnosis and management are crucial to prevent subchondral collapse, secondary osteonecrosis and early-onset osteoarthritis. Read More

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http://dx.doi.org/10.1007/s00256-019-3160-4DOI Listing
July 2019
16 Reads

Is Use of Bone Cement for Treatment of Second Metatarsal Stress Fractures Safe? A Case Report.

Cureus 2018 Oct 9;10(10):e3436. Epub 2018 Oct 9.

Orthopaedics, University of Alabama at Birmingham, Birmingham, USA.

Metatarsal stress fractures are common injuries of the foot and can be a source of chronic pain without appropriate management. Conservative management is first line, but surgery may be indicated in athletes, cases of nonunion, and fractures of the fifth metatarsal. We report a case of a 34-year-old female who presented to clinic for intractable pain of the left foot secondary to a stress fracture of the left second metatarsal, which had been previously treated with injectable acrylic bone cement. Read More

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https://www.cureus.com/articles/14581-is-use-of-bone-cement-
Publisher Site
http://dx.doi.org/10.7759/cureus.3436DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6289564PMC
October 2018
49 Reads

Radiographic Analysis of National Football League Players' Fifth Metatarsal Morphology Relationship to Proximal Fifth Metatarsal Fracture Risk.

Foot Ankle Int 2019 Mar 7;40(3):318-322. Epub 2018 Nov 7.

1 Hospital for Special Surgery, New York, NY, USA.

Background:: Fractures of the proximal fifth metatarsal are one of the most common foot injuries in athletes. Repetitive stresses endured by the fifth metatarsal can lead to stress fracture, delayed union, and refracture, making optimal treatment challenging. A radiographic analysis of fifth metatarsal morphology and foot type in National Football League (NFL) players was performed to investigate morphologic risk factors for these injuries. Read More

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http://dx.doi.org/10.1177/1071100718809357DOI Listing
March 2019
8 Reads

Brachymetatarsia as a Source of Pain in a US Military Trainee.

J Orthop Sports Phys Ther 2018 11;48(11):904

A 19-year-old female US Army trainee presented to a direct-access physical therapy clinic reporting 1 week of bilateral dorsal foot pain that was worse on the right than the left side. Due to swelling, focal tenderness, and pain, the physical therapist ordered radiographs to evaluate for a potential stress fracture. The radiographs revealed that the fourth metatarsals were notably shorter than the others, but were negative for other pathology. Read More

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https://www.jospt.org/doi/10.2519/jospt.2018.7522
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http://dx.doi.org/10.2519/jospt.2018.7522DOI Listing
November 2018
12 Reads

Joint debridement and microfracture for treatment late-stage Freiberg-Kohler's disease: Long-term follow-up study.

Foot Ankle Surg 2019 Aug 27;25(4):457-461. Epub 2018 Feb 27.

Operative Unit of Orthopaedics and Traumatology, Israelite Hospital, Rome, Italy. Electronic address:

Background: Freiberg-Kohler's disease is not a common disease and although various reports have been described since 1914, treatment methods are not completely established. The purpose of the present retrospective study was to evaluate the long-term outcomes following joint debridement and microfracture procedures for the treatment of Freiberg-Kohler's disease.

Methods: Fifteen consecutive patients (16 feet) with Freiberg-Kohler's disease (Smillie's classification grade III-V) were operated between May 1996 to December 2011. Read More

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http://dx.doi.org/10.1016/j.fas.2018.02.013DOI Listing
August 2019
9 Reads

Fractures in patients with osteopetrosis, insights from a single institution.

Int Orthop 2019 06 4;43(6):1297-1302. Epub 2018 Oct 4.

Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Novena, Singapore.

Purpose: Osteopetrosis is a hereditary skeletal disorder in which defective osteoclast function leads to abnormally hard and brittle bones. This study aims to describe the pattern of fractures occurring in this group of patients, possible complications, and strategies to avoid them.

Methods: This is a case series of six osteopetrotic patients with a total of 12 fractures managed in our institution over a period of nine years. Read More

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http://dx.doi.org/10.1007/s00264-018-4167-5DOI Listing
June 2019
13 Reads

Not One of the Usual Suspects: MRI Features of Insertional Lateral Cord Plantar Fasciopathy.

AJR Am J Roentgenol 2018 11 21;211(5):W252-W256. Epub 2018 Sep 21.

3 Department of Radiology, Albert Einstein College of Medicine, Bronx, NY.

Objective: The purpose of this article is to report MRI findings of insertional lateral cord plantar fasciopathy and review the presenting symptoms of the condition and suspected diagnoses.

Conclusion: Lateral cord plantar fasciopathy presents with pain and swelling at the lateral midfoot, which are typically clinically suspected to be caused by fifth metatarsal (MT) base stress fracture of peroneal tendon abnormalities. The MRI findings are identical to those seen in association with the more commonly occurring central cord plantar fasciopathy, which has a calcaneal origin, but the findings affect the insertion of the lateral cord onto the plantar lateral base of the fifth MT. Read More

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http://dx.doi.org/10.2214/AJR.17.19218DOI Listing
November 2018
9 Reads

Early return to playing professional football following fixation of 5th metatarsal stress fractures may lead to delayed union but does not increase the risk of long-term non-union.

Knee Surg Sports Traumatol Arthrosc 2019 Sep 28;27(9):2796-2801. Epub 2018 Aug 28.

Fortius Clinic, 17 Fitzhardinge St, London, W1H 6EQ, UK.

Purpose: 5th metatarsal stress fractures are frequently encountered in professional football. There is concern that early return to play following intra-medullary screw fixation may lead to an increased risk of delayed union. The purpose of the study was to assess whether an early return to play after surgical fixation of 5th metatarsal fractures in professional football players is a risk factor for delayed union and the effect of this on the ultimate clinical outcome. Read More

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http://dx.doi.org/10.1007/s00167-018-5104-2DOI Listing
September 2019
18 Reads
2.837 Impact Factor

Prospective study of biomechanical risk factors for second and third metatarsal stress fractures in military recruits.

J Sci Med Sport 2019 Feb 26;22(2):135-139. Epub 2018 Jul 26.

Institute of Naval Medicine, Alverstoke, Hampshire, PO12 2DL, UK.

Objectives: This prospective study investigated anatomical and biomechanical risk factors for second and third metatarsal stress fractures in military recruits during training.

Design: Prospective cohort study.

Methods: Anatomical and biomechanical measures were taken for 1065 Royal Marines recruits at the start of training when injury-free. Read More

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http://dx.doi.org/10.1016/j.jsams.2018.06.015DOI Listing
February 2019
2 Reads

Development of a Footwear Sizing System in the National Football League.

Sports Health 2019 Jan/Feb;11(1):40-46. Epub 2018 Jul 26.

Biomechanics Consulting and Research (Biocore), Charlottesville, Virginia.

Context:: Footwear performance and injury mitigation may be compromised if the footwear is not properly sized for an athlete. Additionally, poor fit may result in discomfort and foot injury such as fifth metatarsal stress fracture, foot deformities, turf toe, and blisters. Current footwear fitting methods consist of foot length and width measurements, which may not properly describe the shape of the individual foot, correlated with shoe size descriptors that are not standardized. Read More

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http://dx.doi.org/10.1177/1941738118789402DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6299345PMC
February 2019
14 Reads

Fifth metatarsal stress fracture in elite male football players: an on-field analysis of plantar loading.

BMJ Open Sport Exerc Med 2018 20;4(1):e000377. Epub 2018 Jun 20.

Department of Physical Therapy, School of Health Sciences, High Point University, High Point, North Carolina, USA.

Objective: Evaluate plantar loading during 'on-field' common football movements in players after fifth metatarsal (MT-5) stress fracture and compare with matched healthy players.

Methods: Fourteen elite male soccer players participated in the study conducted on a natural grass playing surface using firm ground football boots. Seven players who had suffered a primary stress fracture (MT-5 group) and seven matched healthy players (controls, CON) performed three common football movements while in-shoe plantar loading data were collected. Read More

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http://dx.doi.org/10.1136/bmjsem-2018-000377DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6018868PMC
June 2018
22 Reads

Successful fifth metatarsal bulk autograft reconstruction of thermal necrosis post intramedullary fixation.

Knee Surg Sports Traumatol Arthrosc 2020 May 21;28(5):1595-1599. Epub 2018 Mar 21.

Department of Orthopaedics, University of British Columbia, Vancouver, Canada.

Reamed intramedullary (IM) screw fixation for proximal fifth metatarsal fractures is technically challenging with potentially devastating complications if basic principles are not followed. A case of an iatrogenic fourth-degree burn after elective reamed IM screw fixation of a proximal fifth metatarsal fracture in a high-level athlete is reported. The case was complicated by postoperative osteomyelitis with third-degree soft-tissue defect. Read More

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http://dx.doi.org/10.1007/s00167-018-4903-9DOI Listing
May 2020
9 Reads

Central Metatarsalgia and Walking on Pebbles: Beyond Morton Neuroma.

AJR Am J Roentgenol 2018 Apr 22;210(4):821-833. Epub 2018 Feb 22.

2 Department of Radiology, Royal Liverpool & Broadgreen University Hospital NHS Trust, Liverpool, United Kingdom.

Objective: Central metatarsalgia relates to abnormalities of the second, third, and fourth metatarsals and their respective metatarsophalangeal joints. A variety of disorders present with central forefoot pain; they range from traumatic lesions (acute or chronic repetitive), inflammatory and infective disorders, nonneoplastic soft-tissue lesions, and benign tumors to malignant lesions. Patients often present with symptoms of localized pain in the forefoot that worsens on weight bearing (walking or running), which can be sharp or dull and often is perceived as a lump felt inside or underneath the foot and described as walking on a marble or pebbles. Read More

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http://dx.doi.org/10.2214/AJR.17.18460DOI Listing
April 2018
28 Reads

Subtle Lisfranc Injuries: A Topical Review and Modification of the Classification System.

Orthopedics 2018 Mar 19;41(2):e168-e175. Epub 2018 Feb 19.

Lisfranc injuries are relatively uncommon. No specific incidence of subtle injuries has been reported; however, almost one-third are missed on initial review. These missed injuries are a common cause of litigation. Read More

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http://dx.doi.org/10.3928/01477447-20180213-07DOI Listing
March 2018
22 Reads

[Fractures of the fifth metatarsal base].

Rozhl Chir Winter 2018;97(2):60-66

Fractures of the fifth metatarsal base are among the most common fractures of the foot. They are typically caused by indirect violence during sports activities. This region is also a site where stress fractures occur frequently. Read More

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April 2019
18 Reads

Early radiographic and clinical outcomes of minimally displaced proximal fifth metatarsal fractures: cast functional bandage.

Muscles Ligaments Tendons J 2017 Jul-Sep;7(3):532-540. Epub 2018 Jan 10.

Orthopaedic Clinic, Department of Surgery, Oncology and Gastroenterology DiSCOG, University of Padua, Padova, Italy.

Background: The purpose of this non-randomized retrospective study was to investigate outcomes of minimally displaced, proximal 5MTB fractures, treated by a below-knee walking cast or a functional elasticated bandage with a support of a flat hard-soled shoe.

Methods: A consecutive patient series was divided into two groups: the cast group and the functional group The subjects were radiologically and clinically evaluated according to Mehlhorn and Lawrence-Botte classification, and AOFAS Midfoot score, respectively.

Results: 154 patients were followed up for a median of 15 months (range 12-24). Read More

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http://dx.doi.org/10.11138/mltj/2017.7.3.532DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5774928PMC
January 2018
18 Reads

Foot and Ankle Conditions: Midfoot and Forefoot Conditions.

FP Essent 2018 Feb;465:30-34

University of Florida College of Medicine, PO Box 100237, Gainesville, FL 32610-0237

The midfoot and forefoot are the regions of the foot distal to the talus and calcaneus and are critical to weight bearing and movement. They help support the arch of the foot, provide shock absorption, and convert vertically oriented forces into horizontal forward and propulsive movement. A spectrum of acute, subacute, and chronic conditions in these regions can cause pain and decreased function. Read More

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February 2018
70 Reads

Can the Syndesmosis Procedure Prevent Metatarsus Primus Varus and Hallux Valgus Deformity Recurrence? A 5-Year Prospective Study.

J Foot Ankle Surg 2018 Mar - Apr;57(2):316-324. Epub 2018 Jan 12.

Associate Professor, Department of Statistics and Actuarial Science, University of Hong Kong, Pokfulam, Hong Kong.

One of the main objectives of hallux valgus surgery is correction of the metatarsus primus varus deformity by osteotomy, arthrodesis, or soft tissue correction. The syndesmosis procedure uses intermetatarsal cerclage sutures to realign the first metatarsal and also induces a syndesmotic bonding between the first and second metatarsals to prevent metatarsus primus varus deformity recurrence. The purpose of the present study was to demonstrate radiologic evidence of the effectiveness of the syndesmosis concept and to identify the incidence and nature of deformity recurrence. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.10.012DOI Listing
September 2018
8 Reads