546 results match your criteria Metatarsal Stress Fracture

Optimal Load for Managing Low-Risk Tibial and Metatarsal Bone Stress Injuries in Runners: The Science Behind the Clinical Reasoning.

J Orthop Sports Phys Ther 2021 May 7:1-28. Epub 2021 May 7.

School of Physical Therapy and Health Sciences, University of Montana, Missoula, MT.

Background: Low-risk bone stress injuries (BSIs) of the tibia and metatarsal diaphysis account for >50% of BSIs in runners. They interrupt training and are managed using non-invasive approaches. The desire by all involved is for a speedy, but safe return to running. Read More

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Stress Fractures of the Fifth Metatarsal in Athletes.

J Am Acad Orthop Surg 2021 Jun;29(12):507-517

From the Mayo Clinic Arizona, Phoenix, AZ (Patel, Christopher), Chilton Medical Center, Pompton Plains, NJ (Hubbard), and the Hospital for Special Surgery (O'Malley), New York, NY.

Stress fractures of the fifth metatarsal (zones 2 and 3) remain a challenging clinical problem. It has been well established that nonsurgical treatment has unacceptably high nonunion and refracture rates. Surgical fixation remains the treatment of choice in the athletic cohort, and intramedullary screw fixation with a solid screw has been established as the most predictable means of achieving a successful outcome. Read More

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High union rates following surgical treatment of proximal fifth metatarsal stress fractures.

Knee Surg Sports Traumatol Arthrosc 2021 Feb 22. Epub 2021 Feb 22.

Department of Orthopaedic Surgery, Amsterdam Movement Sciences, Amsterdam UMC, Location AMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.

Purpose: The primary purpose of this study was to determine the union rate and time for surgical- and non-surgical treatment of stress fractures of the proximal fifth metatarsal (MT5). The secondary purpose was to assess the rate of adverse bone healing events (delayed union, non-union, and refractures) as well as the return to sports time and rate.

Methods: A literature search of the EMBASE (Ovid), MEDLINE (PubMed), CINAHL, Web of Science and Google Scholar databases until March 2020 was conducted. Read More

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February 2021

Jones Fracture in the Nonathletic Population.

Foot Ankle Clin 2020 Dec 6;25(4):737-751. Epub 2020 Oct 6.

Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, 3333 North Calvert Street, Suite 400, Baltimore, MD 21218, USA. Electronic address:

Fractures of the proximal fifth metatarsal are common injuries with a unique history. Treatment of these fractures is controversial partly because of confusion regarding fracture subtype nomenclature. Today "Jones fracture" refers to proximal fifth metatarsal fracture in zones 2 or 3. Read More

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December 2020

Nonunion of a Stress Fracture at the Base of the Second Metatarsal in a Soccer Player Treated by Osteosynthesis with the Bridging Plate Fixation Technique.

Case Rep Orthop 2020 22;2020:6649443. Epub 2020 Dec 22.

Department of Orthopedic Surgery, Hyogo College of Medicine, 663-8501, 1-1 Mukogawa-cho, Nishinomiya City, Hyogo, Japan.

Background: A stress fracture of the second metatarsal base in soccer players is extremely rare. In this case study, we report a nonunion of a stress fracture at the base of the second metatarsal in a female soccer player who had persistent pain despite continued conservative treatment, who then was treated with the bridging plate fixation technique. . Read More

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December 2020

In-Season Management of Acute and Subacute Sports Foot Injuries.

Foot Ankle Clin 2021 Mar;26(1):187-203

Miami Orthopaedic and Sports Medicine Institute, Florida International University, Herbert Wertheim College of Medicine, Team Physician- NFL Miami Dolphins and NHL Florida Panthers, Baptist Health South Florida, 1150 Campo Sano Avenue, Coral Gables, FL 33146, USA.

In athletes, foot injuries present with a variety of mechanisms, severity, and implications for return to play. Although potentially given less attention than knee and shoulder injuries by the team physician, foot injuries are common and thus require knowledgeable consideration. In this article, we review the anatomy, presentation, workup, and management of several of the most common athletic foot injuries, including turf toe, Lisfranc injuries, Jones fractures, and navicular stress fractures. Read More

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Aseptic (avascular) bone necrosis in the foot and ankle.

EFORT Open Rev 2020 Oct 26;5(10):684-690. Epub 2020 Oct 26.

Tres Torres Hospital, Barcelona, Spain.

Aseptic necrosis may be defined as a group of diseases that have bone necrosis as a common denominator. They usually appear in the epiphyses and in the carpal and tarsal bones. They generally appear during a growth period and principally at those skeletal points subjected to particular stress. Read More

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October 2020

Risk Factors Associated With Foot and Ankle Insufficiency Fractures in Postmenopausal Sedentary Women.

Foot Ankle Int 2021 Apr 17;42(4):482-487. Epub 2020 Nov 17.

Post-Graduation in Health Sciences Program of Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo (IAMSPE), São Paulo, Brazil.

Background: Insufficiency fractures occur in bones with low elastic resistance. In contrast to stress fractures, which affect normal bones and have been extensively studied, insufficiency fractures of the foot and ankle have been the subject of little research. The objective of this study was to identify risk factors associated with the development of foot and ankle insufficiency fractures. Read More

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Anatomic Characteristics of Tissues Attached to the Fifth Metatarsal Bone.

Orthop J Sports Med 2020 Sep 18;8(9):2325967120947725. Epub 2020 Sep 18.

Department of Anatomy, School of Life Dentistry at Niigata, Nippon Dental University, Niigata, Japan.

Background: Two types of stress, bending stress and traction stress, have been reported to be involved in the mechanism of Jones fracture. However, little is known about the risk factors for traction stress.

Purpose: To classify the attachment position of the peroneus brevis muscle (PB), peroneus tertius (PT), lateral band of the plantar aponeurosis (LB), and the long plantar ligament (LPL), focusing on the zone where a Jones fracture occurs (zone 2), and to compare the footprint area of each tissue type. Read More

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September 2020

Dynamic Loading Assessment at the Fifth Metatarsal in Elite Athletes With a History of Jones Fracture.

Clin J Sport Med 2020 Aug 17. Epub 2020 Aug 17.

Department of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado.

Objective: We hypothesize that athletes who have suffered Jones fractures will apply significantly higher loads at the fifth metatarsal base during athletic activities compared with matched uninjured athletes.

Design: Sixteen athletes were recruited to participate. Eight athletes had a history of Jones fracture, and 8 age, gender, and position-matched athletes without a history of foot injury were recruited as controls. Read More

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Three dimensional finite element modelling of metatarsal stresses during running.

J Med Eng Technol 2020 7;44(7):368-377. Epub 2020 Aug 7.

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

Second metatarsal stress fractures are a problematic injury for runners and are formed when the rate of repair of bone is outpaced by the damage accumulated during loading. Measuring the peak stresses on the bone during running gives an indication of damage accumulation but direct measurement is invasive. Finite element modelling is a viable alternative method of accurately estimating bone stresses but tends to be too computationally expensive for use in applied research. Read More

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

Int Orthop 2020 11 30;44(11):2407-2412. 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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November 2020

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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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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February 2021

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

J Biomech 2020 05 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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A cross-sectional study on foot loading patterns in elite soccer players of different ages.

J Back Musculoskelet Rehabil 2020 ;33(6):939-946

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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Bizarre parosteal osteochondromatous proliferation co-occurring with a metatarsal fatigue fracture: a case report.

BMC Musculoskelet Disord 2020 Mar 12;21(1):161. Epub 2020 Mar 12.

Department of Orthopaedics and Traumatology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China.

Background: Bizarre parosteal osteochondromatous proliferation (BPOP) is a relatively rare benign extraperiosteal osteochondroma-like proliferative lesion that shares similarities with malignant tumours in terms of morphology. The aetiology of BPOP has yet to be determined and there are no previous reports of BPOP associated with fracture.

Case Presentation: A 57-year-old woman presented with a one-month history of pain and swelling in her right foot, which were worsened by activity and improved with rest. Read More

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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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January 2021

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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February 2020

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

Orphanet J Rare Dis 2020 02 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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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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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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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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Operative Results of Plantar Plating for Fifth Metatarsal Stress Fracture.

Foot Ankle Int 2020 04 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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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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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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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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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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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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November 2019