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fifth metatarsal stress fracture

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https://www.readbyqxmd.com/read/29444576/-fractures-of-the-fifth-metatarsal-base
#1
K Bušková, D Kuběnová, M Tuček
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. Diagnosis is based on the patients medical history, clinical examination and imaging methods. The fundamental imaging method is radiography of the foot in three views. MRI is used primarily for early diagnosis of stress fractures. CT examination is beneficial mainly in complex foot injuries, in order to rule out associated fractures...
2018: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/29381043/foot-and-ankle-conditions-midfoot-and-forefoot-conditions
#2
Katherine M Edenfield, Charlie Michaudet, Guy W Nicolette, Peter J Carek
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. A thorough history and physical examination should include foot and leg biomechanics, alignment, and posture in addition to palpation of painful areas...
February 2018: FP Essentials
https://www.readbyqxmd.com/read/29240544/expected-time-to-return-to-athletic-participation-after-stress-fracture-in-division-i-collegiate-athletes
#3
Timothy L Miller, Marissa Jamieson, Sonsecharae Everson, Courtney Siegel
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. LEVEL OF EVIDENCE: Level 3. METHODS: All stress fractures diagnosed in a single Division I collegiate men's and women's track and field/cross-country team were recorded over a 3-year period...
December 1, 2017: Sports Health
https://www.readbyqxmd.com/read/29228800/fifth-metatarsal-jones-fractures-in-the-athlete
#4
David A Porter
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. The current standard for treatment is operative intervention with intramedullary screw fixation. Athletes typically report an acute episode of lateral foot pain, described as an ache...
February 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29172689/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
#5
Jesús Payo-Ollero, Fernando Álvarez Goenaga, Gotzon Elorriaga Sagarduy, Alberto Ruiz Nasarre, Matías Alfonso Olmos-García, Carlos Villas Tomé
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. We report 3 cases of fifth metatarsal stress fracture resulting from an equinovarus hindfoot deformity caused by a neuromuscular disease...
November 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29106811/epidemiology-and-impact-on-performance-of-lower-extremity-stress-injuries-in-professional-basketball-players
#6
Moin Khan, Kim Madden, M Tyrrell Burrus, Joseph P Rogowski, Jeff Stotts, Marisa J Samani, Robby Sikka, Asheesh Bedi
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. STUDY DESIGN: Case series...
March 2018: Sports Health
https://www.readbyqxmd.com/read/28915360/risk-factors-for-reoperation-and-performance-based-outcomes-after-operative-fixation-of-foot-fractures-in-the-professional-athlete-a-cross-sport-analysis
#7
Sameer K Singh, Kevin E Larkin, Anish R Kadakia, Wellington K Hsu
BACKGROUND: Professional athletes are predisposed to fractures of the foot due to large stresses placed on the lower extremity. These players are concerned with efficiently returning to play at a high level. Return-to-play rates after operative treatment have been previously reported, yet performance outcomes after such treatment are generally unknown in this population. HYPOTHESIS: Overall, professional athletes sustaining a foot fracture would return to play at high rates with little impact on postoperative performance or league participation...
January 2018: Sports Health
https://www.readbyqxmd.com/read/28632662/treatment-of-incomplete-jones-fractures-with-low-intensity-pulsed-ultrasound-lipus
#8
Tateishi Tomohiko, Tsuyoshi Nagase, Teruhiko Nakagawa, Tsuchiya Masamitsu
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...
July 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28594506/high-risk-stress-fractures-in-elite-athletes
#9
Michael Isiah Sandlin, Andrew J Rosenbaum, Cyrus E Taghavi, Timothy P Charlton, Martin J O'Malley
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...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28533626/nonhealing-progressive-stress-fractures-of-the-foot-in-a-13-year-old-basketball-player-is-vitamin-k-deficiency-a-risk-factor
#10
Meral Bayramoğlu, Nuray Ünlütürk
[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. He denied any increase in daily training intensity. Magnetic resonance imaging confirmed stress fractures of the cuboid and cuneiform, with mild edema of the soft tissues between the tarsal bones and tenosynovitis of the flexor hallucis and flexor digitorum longi...
April 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28503415/kickboxing-power-hour-case-report-of-fifth-metatarsal-apophysitis-iselin-disease-and-its-magnetic-resonance-imaging-features
#11
Nishant Gupta, Komal Sharma, Itisha Bansal, Yogesh Kumar, Daichi Hayashi
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. The patient was actively involved in Kickboxing as well as active running...
April 2017: Translational Pediatrics
https://www.readbyqxmd.com/read/28444437/range-limitation-in-hip-internal-rotation-and-fifth-metatarsal-stress-fractures-jones-fracture-in-professional-football-players
#12
Yoshitomo Saita, Masashi Nagao, Takayuki Kawasaki, Yohei Kobayashi, Keiji Kobayashi, Hiroki Nakajima, Yuji Takazawa, Kazuo Kaneko, Hiroshi Ikeda
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. Univariate and multivariate logistic regression controlling for age, leg dominance and body mass index were used to obtain odds ratios (ORs) and 95% confidence intervals (CIs) to describe the association between physical examination data and the presence or absence of Jones fractures...
April 25, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28361017/lower-limb-stress-fractures-in-sport-optimising-their-management-and-outcome
#13
REVIEW
Greg A J Robertson, Alexander M Wood
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. Treatment planning of this condition is specific to the location of the injury. However, there remains a clear division of stress fractures by "high" and "low" risk. "Low risk" stress fractures are those with a low probability of fracture propagation, delayed union, or non-union, and so can be managed reliably with rest and exercise limitation...
March 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28343329/stress-fractures-of-the-foot-and-ankle-part-2-site-specific-etiology-imaging-and-treatment-and-differential-diagnosis
#14
REVIEW
Jacob C Mandell, Bharti Khurana, Stacy E Smith
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...
September 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/27863793/plantar-pressure-asymmetry-and-risk-of-stress-injuries-in-the-foot-of-young-soccer-players
#15
Renato R Azevedo, Emmanuel S da Rocha, Pedro S Franco, Felipe P Carpes
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. SETTING: Laboratory. PARTICIPANTS: Thirty young adolescents divided into a soccer player group (n = 15) or a matched control group (n = 15)...
March 2017: Physical Therapy in Sport
https://www.readbyqxmd.com/read/27066870/rare-proximal-diaphyseal-stress-fractures-of-the-fifth-metatarsal-associated-with-metatarsus-adductus
#16
MULTICENTER STUDY
Kyle E Wamelink, John T Marcoux, Scott M Walrath
Before the report of English surgeon Robert Jones, who sustained a fracture to his fifth metatarsal while dancing around a tent pole, metatarsal fractures were thought to be the result of direct trauma to the foot. The mechanism of metatarsal fractures, in particular, those involving the fifth metatarsal, is now well understood. Patients with an adducted alignment of their forefoot can overload the fifth metatarsal base, putting them at an increased risk of fractures of this bone. Studies have reported that 2 distinct types of proximal diaphyseal or junctional fractures of the fifth metatarsal occur: the acute proximal diaphyseal or transverse proximal diaphyseal fracture and the proximal diaphyseal stress fracture...
July 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/26972260/high-risk-stress-fractures-diagnosis-and-management
#17
REVIEW
Kelly C McInnis, Lindsay N Ramey
Stress fractures are common overuse injuries in athletes. They occur during periods of increased training without adequate rest, disrupting normal bone reparative mechanisms. There are a host of intrinsic and extrinsic factors, including biochemical and biomechanical, that put athletes at risk. In most stress fractures, the diagnosis is primarily clinical, with imaging indicated at times, and management focused on symptom-free relative rest with advancement of activity as tolerated. Overall, stress fractures in athletes have an excellent prognosis for return to sport, with little risk of complication...
March 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/26596794/evaluating-the-risk-of-a-fifth-metatarsal-stress-fracture-by-measuring-the-serum-25-hydroxyvitamin-d-levels
#18
Yu Shimasaki, Masashi Nagao, Takayuki Miyamori, Yukihiro Aoba, Norifumi Fukushi, Yoshitomo Saita, Hiroshi Ikeda, Sung-Gon Kim, Masahiko Nozawa, Kazuo Kaneko, Masafumi Yoshimura
BACKGROUND: The fifth metatarsal bone is a common site of stress fractures in soccer athletes. Although several endocrine risk factors for stress fractures have been proposed, the endocrine risks for fifth metatarsal (5-MT) stress fractures have not been evaluated. METHODS: To evaluate the endocrine risks of fifth metatarsal stress fractures, we conducted a cumulative case-control study. The present study included 37 athletes, of which 18 had a history of a zone 2 or zone 3 fifth metatarsal stress fracture and 19 controls...
March 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26563480/treatment-of-proximal-fifth-metatarsal-bone-fractures-in-athletes
#19
M Japjec, M Starešinić, M Starjački, I Žgaljardić, J Štivičić, B Šebečić
Proximal fifth metatarsal (V MT) bone fractures are common injuries that are a major diagnostic and therapeutic challenge. Lawrence and Botte considered different treatment options and the possibility of recovery and divided these fractures into three different regions: tuberosity avulsion fractures (zone I), acute fractures of the metaphysis at the level of the intermetatarsal junction (zone II) and proximal diaphysis stress fracture (zone III). A total of 42 athletes with fracture of the V MT bone in zone II and III were treated in our institution during a 6-year period...
November 2015: Injury
https://www.readbyqxmd.com/read/26535399/pathogenesis-of-fifth-metatarsal-fractures-in-college-soccer-players
#20
Kohei Fujitaka, Akira Taniguchi, Shinji Isomoto, Tsukasa Kumai, Shingo Otuki, Mamoru Okubo, Yasuhito Tanaka
BACKGROUND: The pathogenesis of fifth metatarsal stress fractures remains uncertain. HYPOTHESIS: Physical characteristics and environmental factors, which have received limited attention in the literature thus far, might be involved in the development of fifth metatarsal stress fractures. STUDY DESIGN: Case-control study; Level of evidence, 3. METHODS: To test the study hypothesis, a medical examination and survey of the living environment of collegiate soccer players was conducted and correlated with the existence of fifth metatarsal stress fractures...
September 2015: Orthopaedic Journal of Sports Medicine
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