499 results match your criteria Metatarsal Stress Fracture


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

J Foot Ankle Surg 2019 Feb 11. 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
February 2019
1 Read

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
February 2019
1 Read

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-
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http://dx.doi.org/10.7759/cureus.3436DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6289564PMC
October 2018
19 Reads

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

Foot Ankle Int 2018 Nov 7:1071100718809357. 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
November 2018
3 Reads

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

Int Orthop 2018 Oct 4. 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
October 2018
7 Reads

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

AJR Am J Roentgenol 2018 Nov 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
2 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 2018 Aug 28. 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
August 2018
9 Reads

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

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
July 2018
5 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
13 Reads

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

Knee Surg Sports Traumatol Arthrosc 2018 Mar 21. 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
March 2018
5 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
15 Reads

[Fractures of the fifth metatarsal base].

Rozhl Chir 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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January 2018
11 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
10 Reads

Foot and Ankle Conditions: Midfoot and Forefoot Conditions.

FP Essent 2018 02;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
40 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
2 Reads

Mechanical Stress Redistribution in the First Metatarsal Bone After Autologous Bone Harvesting.

J Am Podiatr Med Assoc 2017 11;107(6):497-510

Background: The first metatarsal bone is a viable source for autologous bone grafting in foot and ankle surgery and may serve as another convenient graft site to correct a flail toe deformity. We aimed to determine how progressive bone removal from the first metatarsal affects the mechanical redistribution of the foot and whether this bone removal increases the risk of fracture.

Methods: A three-dimensional finite element model developed from computed tomographic images obtained from a healthy man were used to evaluate traction stresses on the first metatarsal bone as a function of applied loads on the talus and Achilles tendon at two phases of the gait cycle (and according to the depth of bone removal). Read More

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http://dx.doi.org/10.7547/16-030DOI Listing
November 2017
10 Reads

Expected Time to Return to Athletic Participation After Stress Fracture in Division I Collegiate Athletes.

Sports Health 2018 Jul/Aug;10(4):340-344. Epub 2017 Dec 14.

The Ohio State University Wexner Medical Center, Columbus, Ohio.

Background: Few studies have documented expected time to return to athletic participation after stress fractures in elite athletes.

Hypothesis: Time to return to athletic participation after stress fractures would vary by site and severity of stress fracture.

Study Design: Retrospective cohort study. Read More

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http://dx.doi.org/10.1177/1941738117747868DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044125PMC
July 2018
14 Reads

Fifth Metatarsal Jones Fractures in the Athlete.

Authors:
David A Porter

Foot Ankle Int 2018 02 11;39(2):250-258. Epub 2017 Dec 11.

1 Methodist Sports Medicine/The Orthopedic Specialists, Indianapolis, IN, USA.

Fifth metatarsal fractures, otherwise known as "Jones" fractures, occur commonly in athletes and nonathletes alike. While recent occurrence in the popular elite athlete has increased public knowledge and interest in the fracture, this injury is common at all levels of sport. This review will focus on all three types of Jones fractures. Read More

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http://dx.doi.org/10.1177/1071100717741856DOI Listing
February 2018
12 Reads

Reliability of analysis of the bone mineral density of the second and fifth metatarsals using dual-energy x-ray absorptiometry (DXA).

J Foot Ankle Res 2017 28;10:52. Epub 2017 Nov 28.

Department of Physical Therapy, High Point University, High Point, NC USA.

Background: Metatarsal fractures, especially of the fifth metatarsal, are common injuries of the foot in a young athletic population, but the risk factors for this injury are not well understood. Dual-energy x-ray absorptiometry (DXA) provides reliable measures of regional bone mineral density to predict fracture risk in the hip and lumbar spine. Recently, sub-regional metatarsal reliability was established in fresh cadaveric specimens and associated with ultimate fracture force. Read More

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http://dx.doi.org/10.1186/s13047-017-0234-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5704601PMC
February 2018
11 Reads

Biomechanical Comparison Study of Three Fixation Methods for Proximal Chevron Osteotomy of the First Metatarsal in Hallux Valgus.

Clin Orthop Surg 2017 Dec 10;9(4):514-520. Epub 2017 Nov 10.

KT Lee's Orthopedic Hospital, Seoul, Korea.

Background: Fixation of proximal chevron metatarsal osteotomy has been accomplished using K-wires traditionally and with a locking plate recently. However, both methods have many disadvantages. Hence, we developed an intramedullary fixation technique using headless cannulated screws and conducted a biomechanical study to evaluate the superiority of the technique to K-wire and locking plate fixations. Read More

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http://dx.doi.org/10.4055/cios.2017.9.4.514DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5705311PMC
December 2017
21 Reads

Stress Fracture of the Fifth Metatarsal in Foot Deformity Secondary to Neuromuscular Disease: Experiences of Deformity Correction Treatment-A Report of 3 Cases and Review of the Literature.

Foot Ankle Spec 2018 Apr 25;11(2):177-182. Epub 2017 Nov 25.

University Clinic of Navarra, Orthopedic Surgery and Traumatology Department, Pamplona, Navarra, Spain (JP-O, MAO-G, CVT).

Fractures at the proximal metaphyso-diaphyseal junction of the fifth metatarsal are associated with high rates of delayed union. When these fractures are the result of repeated stress in patients with equinovarus hindfoot, which in turn is caused by neurological disorders, delayed union is the rule. Therefore, in neurological patients with stress fractures, optimal treatment would be to achieve a plantigrade foot enabling them to relieve the fifth metatarsal overload, which prevents the consolidation. Read More

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http://dx.doi.org/10.1177/1938640017744642DOI Listing
April 2018
8 Reads

Epidemiology and Impact on Performance of Lower Extremity Stress Injuries in Professional Basketball Players.

Sports Health 2018 Mar/Apr;10(2):169-174. Epub 2017 Nov 6.

Background: Professional basketball players in the National Basketball Association (NBA) subject their lower extremities to significant repetitive loading during both regular-season and off-season training. Little is known about the incidence of lower extremity bony stress injuries and their impact on return to play and performance in these athletes.

Hypothesis: Stress injuries of the lower extremity will have significant impact on performance. Read More

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http://dx.doi.org/10.1177/1941738117738988DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5857731PMC
March 2018
7 Reads

Effects of footwear and stride length on metatarsal strains and failure in running.

Clin Biomech (Bristol, Avon) 2017 Nov 16;49:8-15. Epub 2017 Aug 16.

Biomedical Engineering Graduate Program, University of Calgary, Canada; Human Performance Laboratory, Faculty of Kinesiology, University of Calgary, Canada; McCaig Institute for Bone and Joint Health, University of Calgary, Canada.

Background: The metatarsal bones of the foot are particularly susceptible to stress fracture owing to the high strains they experience during the stance phase of running. Shoe cushioning and stride length reduction represent two potential interventions to decrease metatarsal strain and thus stress fracture risk.

Methods: Fourteen male recreational runners ran overground at a 5-km pace while motion capture and plantar pressure data were collected during four experimental conditions: traditional shoe at preferred and 90% preferred stride length, and minimalist shoe at preferred and 90% preferred stride length. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2017.08.006DOI Listing
November 2017
5 Reads

Intramedullary Screw Fixation of a Proximal Fifth Metatarsal Stress Fracture in an Elite Athlete: A Case Report.

Authors:
Steffen Sauer

Surg J (N Y) 2017 Jan 17;3(1):e6-e8. Epub 2017 Mar 17.

Department of Orthopaedic Surgery and Sports Medicine, Aarhus University Hospital, Aarhus, Denmark.

Intramedullary screw fixation of proximal fifth metatarsal fractures is a simple surgical procedure, enabling early postoperative weight-bearing and subsequently rapid return to competitive sport, which is of great significance for elite athletes. The procedure is described in an elite basketball player in this article. Pes cavus and hindfoot varus alignment potentiate cyclic loading onto the fifth metatarsal and should be addressed as it may represent underestimated factors concerning fracture prognosis. Read More

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http://dx.doi.org/10.1055/s-0037-1599833DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553494PMC
January 2017
6 Reads

Metatarsal Stress Fractures.

Adv Emerg Nurs J 2017 Jul/Sep;39(3):168-175

School of Nursing and Health Sciences, Robert Morris University, Moon Township, Pennsylvania (Dr Ramponi); and Department of Nursing, Edinboro University, Edinboro, Pennsylvania (Drs Hedderick and Maloney).

Metatarsal stress fractures are also called "march fractures" or "marcher's foot." They most commonly occur in the distal second and third metatarsals. The second and third metatarsals receive the majority of stress during ambulation and are less mobile compared with the other metatarsals. Read More

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http://dx.doi.org/10.1097/TME.0000000000000154DOI Listing
August 2017
6 Reads

Characteristics of the Foot Static Alignment and the Plantar Pressure Associated with Fifth Metatarsal Stress Fracture History in Male Soccer Players: a Case-Control Study.

Sports Med Open 2017 Dec 7;3(1):27. Epub 2017 Aug 7.

Faculty of Sport Sciences, Waseda University, Saitama, Japan.

Background: There is a large amount of information regarding risk factors for fifth metatarsal stress fractures; however, there are few studies involving large numbers of subjects. This study aimed to compare the static foot alignment and distribution of foot pressure of athletes with and without a history of fifth metatarsal stress fractures.

Methods: The study participants comprised 335 collegiate male soccer players. Read More

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http://dx.doi.org/10.1186/s40798-017-0095-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5545985PMC
December 2017
4 Reads

Metatarsal Periosteal Plantar Ganglion Cyst Associated With Stress Fracture: A Case Report.

J Foot Ankle Surg 2017 Nov - Dec;56(6):1328-1331. Epub 2017 Jul 29.

Professor, Department of Orthopaedics, Tokai University School of Medicine, Isehara, Japan.

We encountered a rare case of a periosteal ganglion cyst at the plantar aspect of the metatarsal that induced a stress fracture in a 77-year-old female. The clinical manifestation of the plantar ganglion cyst of the foot was not evident because of its location deep beneath the plantar fascia. A pressure cortical indentation was detected at the metatarsal neck on the initial radiographs. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.06.003DOI Listing
July 2018
28 Reads

A Pilot Study of the Effect of Outsole Hardness on Lower Limb Kinematics and Kinetics during Soccer Related Movements.

J Hum Kinet 2017 Jun 22;57:17-27. Epub 2017 Jun 22.

Faculty of Sports Science, Ningbo University, Ningbo, China.

The purpose of this study was to investigate the effect of different outsole hardness of turf cleats shoes on the lower limb kinematics and kinetics of soccer players playing on artificial turf. The participants were required to complete tasks of straight running and 45° left sidestep cutting movements, respectively, at the speed of 4.5 ± 0. Read More

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http://dx.doi.org/10.1515/hukin-2017-0043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5504575PMC
June 2017
5 Reads

Overuse Injuries in Professional Ballet: Influence of Age and Years of Professional Practice.

Orthop J Sports Med 2017 Jun 28;5(6):2325967117712704. Epub 2017 Jun 28.

Orthopaedic Surgery and Traumatology Department, Clínica CEMTRO, Madrid, Spain.

Background: In spite of the high rate of overuse injuries in ballet dancers, no studies have investigated the prevalence of overuse injuries in professional dancers by providing specific diagnoses and details on the differences in the injuries sustained as a function of age and/or years of professional practice.

Hypothesis: Overuse injuries are the most prevalent injuries in ballet dancers. Professional ballet dancers suffer different types of injuries depending on their age and years of professional practice. Read More

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http://dx.doi.org/10.1177/2325967117712704DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5495510PMC
June 2017
5 Reads

Experimental validation of finite element predicted bone strain in the human metatarsal.

J Biomech 2017 07 21;60:22-29. Epub 2017 Jun 21.

Human Performance Laboratory, Faculty of Kinesiology, University of Calgary, AB T2N 1N4, Canada; Biomedical Engineering Graduate Program, University of Calgary, AB T2N 1N4, Canada; McCaig Institute for Bone and Joint Health, Cumming School of Medicine, University of Calgary, AB T2N 1N4, Canada. Electronic address:

Metatarsal stress fracture is a common injury observed in athletes and military personnel. Mechanical fatigue is believed to play an important role in the etiology of stress fracture, which is highly dependent on the resulting bone strain from the applied load. The purpose of this study was to validate a subject-specific finite element (FE) modeling routine for bone strain prediction in the human metatarsal. Read More

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http://dx.doi.org/10.1016/j.jbiomech.2017.06.010DOI Listing
July 2017
3 Reads

Treatment of Incomplete Jones Fractures With Low-Intensity Pulsed Ultrasound (LIPUS).

J Orthop Trauma 2017 Jul;31(7):S2-S3

Arthroscopy & Sports Center, Doai Memorial Hospital.

Objective: Stress fractures of the proximal epiphysis of the fifth metatarsal bone (termed Jones fracture) frequently occur in both senior high-school-age and older contestant-level soccer players, and its incidence in Japanese soccer players is higher than that in European players. Surgery is most commonly indicated for a complete fracture, and about 3 months are required before the patient is able to return to the sport. We have performed a "Jones fracture screening" to reduce the incidence of these fractures. Read More

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http://dx.doi.org/10.1097/01.bot.0000520891.77222.9dDOI Listing
July 2017
20 Reads

Plate Fixation With Autogenous Calcaneal Dowel Grafting Proximal Fourth and Fifth Metatarsal Fractures: Technique and Case Series.

J Foot Ankle Surg 2017 Sep - Oct;56(5):975-981. Epub 2017 Jun 9.

Staff Podiatrist, Department of Sports Medicine, Palo Alto Medical Foundation, Palo Alto, CA.

Metaphyseal and proximal diaphyseal fractures of the lateral column metatarsals can have problems with healing. In particular, those involving the fifth metatarsal have been associated with a high nonunion rate with nonoperative treatment. Although intramedullary screw fixation results in a high union rate, delayed healing and complications can occur. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.04.035DOI Listing
June 2018
12 Reads

High-Risk Stress Fractures in Elite Athletes.

Instr Course Lect 2017 Feb;66:281-292

Orthopaedic Surgery Foot and Ankle Fellow, Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, Los Angeles, California.

Surgeons should understand common factors that predispose high-level athletes to stress injuries as well as the importance of vitamin D and specifics related to vascular supply, location of injury, biomechanics, and susceptibility factors in high-level athletes who have stress injuries. Surgeons should be aware of diagnostic- and management-based recommendations for and the outcomes of anterior tibia, medial malleolus, tarsal navicular, and proximal fifth metatarsal stress fractures in professional athletes. Read More

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February 2017
7 Reads

Nonhealing, progressive stress fractures of the foot in a 13-year-old basketball player: is vitamin K deficiency a risk factor?

J Phys Ther Sci 2017 Apr 20;29(4):763-766. Epub 2017 Apr 20.

Department of Physical Medicine and Rehabilitation, Acıbadem University School of Medicine, Turkey.

[Purpose] To report an adolescent male basketball player with nonhealing stress fractures of the foot and discuss the probable factors. [Subject and Methods] A 13-year-old basketball player presented with right foot pain. He had been playing basketball for three years and practicing 5 days/week. Read More

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http://dx.doi.org/10.1589/jpts.29.763DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5430289PMC
April 2017
10 Reads

Kickboxing power hour: case report of fifth metatarsal apophysitis (Iselin disease) and its magnetic resonance imaging features.

Transl Pediatr 2017 Apr;6(2):98-101

Department of Radiology, Yale New Haven Health at Bridgeport Hospital, Bridgeport, CT, USA.

Youth now-a-days are getting more involved in mixed martial arts, with increasing number of cases of lateral foot pain due to various causes. The differential diagnoses of lateral foot pain in the pediatric population include avulsion fracture of the fifth metatarsal base, Jones fracture, diaphyseal stress fracture as well as os vesalianum pedis. We present a case of a 15-year-old athletic boy who presented with left lateral foot pain for a few weeks. Read More

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http://dx.doi.org/10.21037/tp.2017.03.07DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5413476PMC
April 2017
11 Reads

Range limitation in hip internal rotation and fifth metatarsal stress fractures (Jones fracture) in professional football players.

Knee Surg Sports Traumatol Arthrosc 2018 Jul 25;26(7):1943-1949. Epub 2017 Apr 25.

Department of Orthopaedics and Sports Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.

Purpose: To identify unknown risk factors associated with fifth metatarsal stress fracture (Jones fracture).

Methods: A case-controlled study was conducted among male Japanese professional football (soccer) players with (N = 20) and without (N = 40) a history of Jones fracture. Injury history and physical examination data were reviewed, and the two groups were compared. Read More

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http://link.springer.com/10.1007/s00167-017-4552-4
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http://dx.doi.org/10.1007/s00167-017-4552-4DOI Listing
July 2018
43 Reads

Lower limb stress fractures in sport: Optimising their management and outcome.

World J Orthop 2017 Mar 18;8(3):242-255. Epub 2017 Mar 18.

Greg A J Robertson, Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, Edinburgh, Scotland EH16 4SA, United Kingdom.

Stress fractures in sport are becoming increasing more common, comprising up to 10% of all of sporting injuries. Around 90% of such injuries are located in the lower limb. This articles aims to define the optimal management of lower limb stress fractures in the athlete, with a view to maximise return rates and minimise return times to sport. Read More

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http://dx.doi.org/10.5312/wjo.v8.i3.242DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5359760PMC
March 2017
8 Reads

[Sports Injuries and Illnesses of the German National Team during the 2016 Olympic Summer Games in Rio de Janeiro].

Sportverletz Sportschaden 2017 01 30;31(1):25-30. Epub 2017 Mar 30.

 This article aims to survey and describe the injuries and illnesses of the German Team during the 2016 Olympic Games in Rio de Janeiro.  Through an electronic documentation system, injuries and illnesses requiring treatment were recorded and evaluated. An injury or illness was defined as any physical symptom that required medical attention and impaired participation in training and/or competition. Read More

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http://dx.doi.org/10.1055/s-0043-101967DOI Listing
January 2017
14 Reads

Stress fractures of the foot and ankle, part 2: site-specific etiology, imaging, and treatment, and differential diagnosis.

Skeletal Radiol 2017 Sep 25;46(9):1165-1186. Epub 2017 Mar 25.

Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 02115, USA.

Stress fractures of the foot and ankle are a commonly encountered problem among athletes and individuals participating in a wide range of activities. This illustrated review, the second of two parts, discusses site-specific etiological factors, imaging appearances, treatment options, and differential considerations of stress fractures of the foot and ankle. The imaging and clinical management of stress fractures of the foot and ankle are highly dependent on the specific location of the fracture, mechanical forces acting upon the injured site, vascular supply of the injured bone, and the proportion of trabecular to cortical bone at the site of injury. Read More

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http://dx.doi.org/10.1007/s00256-017-2632-7DOI Listing
September 2017
7 Reads

Metastatic Melanoma of a Metatarsal.

J Am Podiatr Med Assoc 2017 Jan;107(1):90-94

A 53-year-old woman presented with painful swelling of the right forefoot presenting clinically as a metatarsal stress fracture. Radiographs showed destructive changes, and diagnostic imaging revealed an aggressive neoplasm. The lesion was biopsied, and the pathologic diagnosis was metastatic melanoma. Read More

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http://dx.doi.org/10.7547/15-202DOI Listing
January 2017
3 Reads

Hardness map of human meta tarsals and phalanges of toes.

Authors:
Irfan Manarvi

Conf Proc IEEE Eng Med Biol Soc 2016 08;2016:5026-5029

Predicting location of fracture in human bones has been a keen area of research for the past few decades. A variety of tests for hardness, deformation and strain field measurement have been conducted in the past; but considered insufficient due to various limitations. Researchers therefore have proposed further studies due to inaccuracies in measurement methods, testing machines and experimental errors. Read More

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http://dx.doi.org/10.1109/EMBC.2016.7591856DOI Listing
August 2016
2 Reads

Work boot design affects the way workers walk: A systematic review of the literature.

Appl Ergon 2017 May 19;61:53-68. Epub 2017 Jan 19.

Biomechanics Research Laboratory, School of Medicine, Faculty of Science, Medicine & Health, University of Wollongong, Wollongong, Australia.

Safety boots are compulsory in many occupations to protect the feet of workers from undesirable external stimuli, particularly in harsh work environments. The unique environmental conditions and varying tasks performed in different occupations necessitate a variety of boot designs to match each worker's occupational safety and functional requirements. Unfortunately, safety boots are often designed more for occupational safety at the expense of functionality and comfort. Read More

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http://dx.doi.org/10.1016/j.apergo.2017.01.003DOI Listing
May 2017
6 Reads

Plantar pressures increase with raising body weight: A standardised approach with paired sample using neutral shoes.

J Back Musculoskelet Rehabil 2017 ;30(3):583-589

Division of Orthopaedic Rheumatology, Department of Orthopaedic Surgery, University of Erlangen-Nuremberg, Erlangen, Germany.

Background: Plantar pressure leads to stress on plantar tissue and can be seen as risk factor for metatarsal stress fractures or plantar ulcers and is associated with prolonged and complicated recurrence of existing tissue damages. A clear demarcation of a systematic raise of body load regarding its effect on plantar pressure has not been described.

Objective: Assessing plantar pressure patterns in different conditions of body weight, comparing data to initial body weight. Read More

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http://dx.doi.org/10.3233/BMR-150442DOI Listing
December 2017
5 Reads

Plantar pressure asymmetry and risk of stress injuries in the foot of young soccer players.

Phys Ther Sport 2017 Mar 24;24:39-43. Epub 2016 Oct 24.

Applied Neuromechanics Research Group, Faculty of Health Sciences, Federal University of Pampa, Uruguaiana, RS, Brazil; Graduate Program in Physical Education, Physical Education and Sports Centre, Federal University of Santa Maria, Santa Maria, RS, Brazil. Electronic address:

Background: Asymmetries in the magnitude of plantar pressure are considered a risk factor for stress fracture of the fifth metatarsal in soccer athletes.

Objective: To investigate the presence of plantar pressure asymmetries among young soccer athletes.

Design: Observational. Read More

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http://dx.doi.org/10.1016/j.ptsp.2016.10.001DOI Listing
March 2017
3 Reads

Epidemiology of Lower Extremity Stress Fractures in the United States Military.

Mil Med 2016 10;181(10):1308-1313

Department of Orthopaedic Surgery and Rehabilitation, William Beaumont Army Medical Center, 5005 N Piedras Street, El Paso, TX 79930.

Purpose: To comprehensively quantify established risk factors for the development of lower extremity stress fractures within a contemporary U.S. military cohort. Read More

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http://dx.doi.org/10.7205/MILMED-D-15-00571DOI Listing
October 2016
8 Reads

Bilateral Adrenal Adenoma Presented As Multiple Metatarsal And Phalangeal Fractures.

Authors:
L L LiYeung T H Lui

J Orthop Case Rep 2015 Oct-Dec;5(4):77-8

Department of Orthopaedics and Traumatology, North District Hospital 9 Po Kin Road, Sheung Shui, NT, Hong Kong SAR, China.

Introduction: Symptomatic adrenal adenoma usually presents with systemic symptoms. Depending on the function of the adenoma, the patient can present with pheochromocytoma-like symptoms; primary hyperaldosteronism and Cushing syndrome (weight gain, weakness, depression, and bruising).

Case Report: A 41 year-old lady presented with multiple metatarsal and phalangeal fractures of the both feet without significant injury. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.353DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4845466PMC
June 2016
2 Reads

Mid-foot cellulitis? Ultrasound imaging of stress fracture at the third metatarsal bone.

Kaohsiung J Med Sci 2016 Mar 28;32(3):162-3. Epub 2015 Dec 28.

Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan. Electronic address:

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http://dx.doi.org/10.1016/j.kjms.2015.11.004DOI Listing
March 2016
2 Reads