Stress Frx of Forefoot & Midfoot
- Midfoot Fatigue Fractures:
- fatigue frx are rare in midfoot (of these frx in navicular are most common);
- radiographs & bone scan are necessary to make the diagnosis;
- treatment involves eliminating athletic activity until healing is complete, which often takes several months;
- Metatarsal Stress Frx:
- Stress Frx Ballet Dancers:
- common sites for stress frx include second and third metatarsals, sesamoids, and distal fibula;
- ballet dancers had most of pain in full en pointe position, where wt is concentrated on the first and second toes;
- 2nd & 3rd metatarsals, are relatively immobile when compared w/ 1st, 4th, and 5th metatarsal rays & are more prone to frx;
- frx also occur frequently in the navicular
Tarsal navicular stress fractures in runners.
Stress fractures of the second metatarsal involving Lisfranc's joint in ballet dancers. A new overuse injury of the foot.
Strain and loading of the second metatarsal during heel-lift.
Original Text by Clifford R. Wheeless, III, MD.
Last updated by Data Trace Staff on Wednesday, August 22, 2012 2:13 pm