Stress fractures of the metatarsal heads

Chowchuen, Prathana; Resnick, Donald

doi:10.1007/s002560050329

Cited by 48 publications

(21 citation statements)

References 6 publications

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“…Fifteen subjects who had recovered from stress fracture of the second metatarsal (n = 11) or of the third metatarsal (n = 4) were matched by limb, age, body mass, and sport activity to noninjured control subjects. The diagnosis of fracture was confirmed by bone scan 28 or radiograph 12 at the time of presentation for health care. Subjects developed fracture while active in track or crosscountry (n = 10), basketball (n = 2), volleyball (n = 1), gymnastics (n = 1), or golf (n = 1).…”

Section: Subjectsmentioning

confidence: 99%

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Dorsal First Ray Mobility in Women Athletes With a History of Stress Fracture of the Second or Third Metatarsal

Glasoe¹,

Allen²,

Kepros³

et al. 2002

J Orthop Sports Phys Ther

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Study Design: Retrospective case-control study. Objective: To examine the amount of dorsal first ray mobility in subjects having a history of stress fracture of the second or third metatarsal as compared to control subjects, and to test the influence of navicular drop, length of the first ray, and generalized joint laxity on the measure of dorsal mobility. Background: Instability of the first ray may cause the lesser metatarsals to carry greater weight and contribute to the incidence of metatarsal stress fracture. Stability of the first ray is believed to be compromised when subtalar joint pronation continues into late stance, the first metatarsal is short, or an individual has generalized joint laxity. To date, no research has assessed the relationship of these etiological factors to the measure of first ray mobility. Methods and Measures: Fifteen women athletes having a history of a second or third metatarsal stress fracture were matched by age, body mass, and sport activity to women athletes without fracture. Dorsal first ray mobility was quantified by a device using a standard load of 55 N. Change in vertical height of the navicular during stance was the measure of foot pronation. Relative length of the first ray navicular segment compared to the length of the second ray navicular segment was measured by caliper. Generalized joint laxity was evaluated using the Beighton 9-point scale. Within-day repeated measures assessed reliability. Differences between groups were determined by independent t test. Multiple polynomial regression analysis assessed the relationship between dorsal mobility and navicular drop, length of the first ray, and joint laxity. Results: Interrater reliability coefficients ranged from 0.36 for metatarsal length to 0.71 for navicular drop. The intrarater reliability coefficient for dorsal first ray mobility was 0.93. Dorsal first ray mobility was not significantly different between the 2 groups. With regression analysis, the Beighton score was the only variable retained as a significant predictor of dorsal mobility (R 2 = 0.24). Conclusion: Results do not support the theory that describes the unstable first ray as a common cause of metatarsal stress fracture. In addition, this investigation found generalized joint laxity to be a significant predictor of dorsal first ray mobility.

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Section: Subjectsmentioning

confidence: 99%

“…2,12 Stress fracture of the metatarsals affects up to 14% of women athletes. 6,8 Fractures of the second or third metatarsals are the most common and account for 75% of all metatarsal stress fractures occurring in sports.…”

mentioning

confidence: 99%

Dorsal First Ray Mobility in Women Athletes With a History of Stress Fracture of the Second or Third Metatarsal

Glasoe¹,

Allen²,

Kepros³

et al. 2002

J Orthop Sports Phys Ther

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“…Differential diagnosis of pain on the plantar side of the foot should include plantar fascitis, 4,5 plantar fibromatosis, 6 stress fractures of the metatarsal bones, 7 ganglion cysts, and tendon abnormalities. In conclusion, pain on the plantar side of the foot can also be caused by plantar vein thrombosis, and sonography can depict this rare condition.…”

Section: Discussionmentioning

confidence: 99%

Sonographic Diagnosis of Plantar Vein Thrombosis

Bernathova

Bein

Bendix

et al. 2005

Journal of Ultrasound in Medicine

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Objective. The purpose of this series is to describe sonographic findings in 3 patients with plantar vein thrombosis. Methods. Three patients had sudden pain and swelling at the plantar side of the affected foot. Sonography of the plantar foot was performed with a broadband linear array working at 5 to 12 MHz. Gadolinium-enhanced magnetic resonance imaging was performed in 1 patient. Results. Sonography showed enlarged incompressible plantar veins in all 3 cases. Magnetic resonance imaging confirmed venous thrombosis in 1 case. Conclusions. Pain and swelling at the plantar side of the foot can be caused by plantar vein thrombosis. This type of rare thrombosis can be diagnosed with sonography. Key words: magnetic resonance imaging; plantar vein; sonography; thrombosis.Received September 22, 2004, Radiology, Innsbruck Medical University, Anichstrasse 35, 6020 Innsbruck, hrombosis of the plantar vein is an extremely rare condition. To our knowledge, in the radiologic literature there are only 2 reports of plantar vein thrombosis detected with sonography.

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“…Mittelfußknochens betroffen, basisnahe Frakturen finden sich typischerweise bei Ballettänzern. Seltener manifestieren sich Stressfrakturen an den Metatarsalia 1, 4 und 5, dann zumeist proximal [4, 10,14]. Während diaphysäre Brüche in der Regel eine gute Prognose aufweisen, gelten alle proximal gelegenen Stressfrakturen im Mittelfußbereich als "High-risk"-Frakturen [12].…”

Section: Metatarsaliaunclassified

“…Mittelfußknochens CME Verschiedene Autoren gehen heute davon aus, dass diese Läsionen eher Folge stressinduzierter Frakturen und nicht einer primären Osteonekrose sind. MRT-Befunde stützen diese Annahme, da man initial ein Knochenmarködem und eine zumeist im dorsalen Aspekt des Metatarsalköpfchens lokalisierte Frakturlinie, jedoch keine Zeichen einer Osteonekrose findet [4,14,15].…”

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Akute Sportverletzungen und chronische Überlastungsschäden an Vor- und Mittelfuß

Wörtler

Schäffeler

2015

Radiologe

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Sports injuries of the foot can occur as sequelae of acute trauma or chronic overuse. Besides clinical examination, imaging plays a major role in the detection of structural abnormalities and the differential diagnostics. This article reviews the most important sports-related soft tissue and bone pathologies of the forefoot and midfoot together with their typical findings on radiography, ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI).

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Stress fractures of the metatarsal heads

Abstract: Stress fractures (i.e., fatigue and insufficiency fractures) of the head of the metatarsal bones occasionally occur. Because of their less recognized appearance on routine radiographs and MR images, they are frequently overlooked.

Cited by 48 publications

References 6 publications

Dorsal First Ray Mobility in Women Athletes With a History of Stress Fracture of the Second or Third Metatarsal

Dorsal First Ray Mobility in Women Athletes With a History of Stress Fracture of the Second or Third Metatarsal

Sonographic Diagnosis of Plantar Vein Thrombosis

Akute Sportverletzungen und chronische Überlastungsschäden an Vor- und Mittelfuß

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