Foot Fractures (Subscribe)  

* stress or fatigue fracture of the metatarsals
* seen in military recruits (a/w marching)

Fractures in the foot are common, and the metatarsals are among the bones most commonly fractured. The injury may be an acute fracture, which is usually due to dropping of heavy objects on foot, or due to a stress fracture secondary to abnormal repetitive trauma in normal bone. Alternatively, a...

Metatarsal fractures are common. Since all five metatarsals function differently, they all require different treatments. They are divided into three sections - 1st, 5th, and 2nd - 4th. The most common mechanisms of injury are either direct impact, such as a crushing injury, causing a transverse or...

With an increase in public interest in physical fitness, clinical practitioners are diagnosing stress fractures with greater frequency.1 First described by Aristotle in 200 BC, stress fractures were initially recorded in the medical literature in 1855 by the Prussian military physician Breithaupt, who described what is now known as a...

Fifth metatarsal fracture patterns
Anatomy of the midfoot
Wheeless' Textbook of Orthopaedics

Open injuries of the foot and ankle are not as common as open fractures of the long bones and, thus the orthopaedic surgeon manages this problem less frequently. Nevertheless, it is important to adhere to the basic principles that apply to all open fractures: (i) adequate antibiotics, (ii) early irrigation...

A simple method for pedicle protection in flap surgery for posterior heel defects. Indian Journal of Plastic Surgery 36(2)2003

Discussion notes, differential diagnosis, radiographs, acute treatment, treatment of stress fractures and excision of sesamoids

Stress ("march") Fracture, 3rd Metatarsal The only radiographic abnormality detected is subtle periosteal reaction in the diaphysis of the 3rd left metatarsal. No bone destruction is evident. No fracture is seen. Radiographic findings in a patient with clinical history of "being on his feet a lot" suggest stress fracture of the...

Phalangeal fractures are the most common fracture of the forefoot. The first and fifth toes are most commonly involved as these are the border digits.

Turf Toe is a tear of joint capsule from MT head which results in subluxation or dislocation of first MTP joint
- caused by hyperextension (most common), hyperflexion, or valgus injury;
- associated with decreased ROM at first MTP joint & its sequele can include hallux rigidus, and can exacerbate sesamoiditis;
Wheeless' Textbook...