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fifth metatarsal stress fracture

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https://www.readbyqxmd.com/read/29106811/epidemiology-and-impact-on-performance-of-lower-extremity-stress-injuries-in-professional-basketball-players
#1
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...
November 1, 2017: 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
#2
Sameer Singh, Kevin Larkin, Anish Kadakia, Wellington 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 post-operative performance or league participation...
September 1, 2017: Sports Health
https://www.readbyqxmd.com/read/28632662/treatment-of-incomplete-jones-fractures-with-low-intensity-pulsed-ultrasound-lipus
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
https://www.readbyqxmd.com/read/26441039/vitamin-d-insufficiency-and-deficiency-in-patients-with-fractures-of-the-fifth-metatarsal
#16
Juliet Clutton, Anthony Perera
INTRODUCTION: The fifth metatarsal is a common site for both acute and stress fractures in the foot. They are usually isolated low-energy or stress fractures. Vitamin D deficiency has been associated with fragility fractures in many parts of the body. We believe that low Vitamin D could be a significant aetiological factor in fractures of the fifth metatarsal. METHODOLOGY: A prospective study of patients with fractures of the fifth metatarsal was conducted. Patients presenting to fracture clinic with these fractures had their vitamin D and calcium levels measured...
June 2016: Foot
https://www.readbyqxmd.com/read/26290323/the-effect-of-concentrated-bone-marrow-aspirate-in-operative-treatment-of-fifth-metatarsal-stress-fractures-a-double-blind-randomized-controlled-trial
#17
RANDOMIZED CONTROLLED TRIAL
Hanneke Weel, Wouter H Mallee, C Niek van Dijk, Leendert Blankevoort, Simon Goedegebuure, J Carel Goslings, John G Kennedy, Gino M M J Kerkhoffs
BACKGROUND: Fifth metatarsal (MT-V) stress fractures often exhibit delayed union and are high-risk fractures for non-union. Surgical treatment, currently considered as the gold standard, does not give optimal results, with a mean time to fracture union of 12-18 weeks. In recent studies, the use of bone marrow cells has been introduced to accelerate healing of fractures with union problems. The aim of this randomized trial is to determine if operative treatment of MT-V stress fractures with use of concentrated blood and bone marrow aspirate (cB + cBMA) is more effective than surgery alone...
August 20, 2015: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/26052051/fifth-metatarsal-fractures-is-routine-follow-up-necessary
#18
K B Ferguson, J McGlynn, P Jenkins, N J Madeley, C S Kumar, L Rymaszewski
BACKGROUND: Fifth metatarsal fractures are common, and the outcome with conservative treatment is generally very satisfactory. Operative treatment is only used for selected injuries, particularly stress fractures. Traditionally these patients are routinely reviewed at a fracture clinic, mainly due to the perceived risk of non-union with a Jones' fracture. In 2011 we introduced a standardised protocol to promote weight bearing as pain allowed with an elasticated support or a removable boot...
August 2015: Injury
https://www.readbyqxmd.com/read/25182236/-anatomical-reconstruction-of-malunited-metatarsals-and-adjacent-joints
#19
H Zwipp, W Schneiders, S Rammelt
BACKGROUND: Malunited fractures of the metatarsals seldom need correction because the adjacent joints proximally and distally are not axially loaded but they may cause significant pain when a subcapital fracture is malunited too far in a plantar direction. METHOD: Even if a metatarsal head is malunited too dorsally the neighboring head signals transfer metatarsalgia. Therefore, reorientation osteotomy with the intraoperative help of a minidistractor and stable fixation with a small locking plate is needed...
September 2014: Der Unfallchirurg
https://www.readbyqxmd.com/read/25138980/surgical-versus-conservative-treatment-for-high-risk-stress-fractures-of-the-lower-leg-anterior-tibial-cortex-navicular-and-fifth-metatarsal-base-a-systematic-review
#20
REVIEW
Wouter H Mallee, Hanneke Weel, C Niek van Dijk, Maurits W van Tulder, Gino M Kerkhoffs, Chung-Wei Christine Lin
AIM: To compare surgical and conservative treatment for high-risk stress fractures of the anterior tibial cortex, navicular and proximal fifth metatarsal. METHODS: Systematic searches of CENTRAL, MEDLINE, EMBASE, CINAHL, SPORTDiscus and PEDro were performed to identify relevant prospective and retrospective studies. Two reviewers independently extracted data and assessed methodological quality. Main outcomes were return to sport and complication rate. RESULTS: 18 studies were included (2 anterior tibia (N=31), 8 navicular (N=200) and 8 fifth metatarsal (N=246))...
March 2015: British Journal of Sports Medicine
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