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Metatarsal Stress Fracture

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1. Playing football on artificial turf as a risk factor for fifth metatarsal stress fracture: a retrospective cohort study. (PubMed)

Playing football on artificial turf as a risk factor for fifth metatarsal stress fracture: a retrospective cohort study. The fifth metatarsal stress fracture is a common injury among football players. Although several risk factors have been proposed, the association between the playing surface and development of fifth metatarsal stress fractures (MT-5) has not been evaluated. We conducted an epidemiological study using a computer-based survey to investigate the association between the playing

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2019 BMJ open

2. Range limitation in hip internal rotation and fifth metatarsal stress fractures (Jones fracture) in professional football players. (PubMed)

Range limitation in hip internal rotation and fifth metatarsal stress fractures (Jones fracture) in professional football players. To identify unknown risk factors associated with fifth metatarsal stress fracture (Jones fracture).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.From 2000 to 2014, among 162 professional football club players, 22 (13.6%; 21 Asians and one Caucasian) had a history of Jones fracture. Thirteen out of 22 (60%) had a Jones fracture in their non-dominant leg. The mean range of hip internal

2017 Knee Surgery, Sports Traumatology, Arthroscopy

3. Fifth metatarsal stress fracture in elite male football players: an on-field analysis of plantar loading (PubMed)

Fifth metatarsal stress fracture in elite male football players: an on-field analysis of plantar loading Evaluate plantar loading during 'on-field' common football movements in players after fifth metatarsal (MT-5) stress fracture and compare with matched healthy players.Fourteen elite male soccer players participated in the study conducted on a natural grass playing surface using firm ground football boots. Seven players who had suffered a primary stress fracture (MT-5 group) and seven matched (...) ) limb when running a curve to receive a pass (MT-5 injured-CON=0.01 BW, ES 1.5). Small between-group differences were evident during straight-line running. However, between-limb analysis of MT-5 group showed significant unloading of the lateral forefoot region of the involved foot.Elite male football players who have returned to play after MT-5 stress fracture display significantly higher maximum plantar force at the lateral forefoot and lateral toes (2-5) compared with healthy matched control

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2018 BMJ Open Sport — Exercise Medicine

4. Early return to playing professional football following fixation of 5th metatarsal stress fractures may lead to delayed union but does not increase the risk of long-term non-union. (PubMed)

Early return to playing professional football following fixation of 5th metatarsal stress fractures may lead to delayed union but does not increase the risk of long-term non-union. 5th metatarsal stress fractures are frequently encountered in professional football. There is concern that early return to play following intra-medullary screw fixation may lead to an increased risk of delayed union. The purpose of the study was to assess whether an early return to play after surgical fixation of 5th (...) metatarsal fractures in professional football players is a risk factor for delayed union and the effect of this on the ultimate clinical outcome.Retrospective review of prospectively collected data of a series of 37 professional football players following intramedullary screw fixation of 5th metatarsal stress fractures. End points included time of return to play and to radiological union of the fracture.At a minimum follow-up of 24 months the mean return to play was 10.5 weeks and mean time to complete

2018 Knee Surgery, Sports Traumatology, Arthroscopy

5. Radiographic Analysis of National Football League Players' Fifth Metatarsal Morphology Relationship to Proximal Fifth Metatarsal Fracture Risk. (PubMed)

Radiographic Analysis of National Football League Players' Fifth Metatarsal Morphology Relationship to Proximal Fifth Metatarsal Fracture Risk. Fractures of the proximal fifth metatarsal are one of the most common foot injuries in athletes. Repetitive stresses endured by the fifth metatarsal can lead to stress fracture, delayed union, and refracture, making optimal treatment challenging. A radiographic analysis of fifth metatarsal morphology and foot type in National Football League (NFL (...) ) players was performed to investigate morphologic risk factors for these injuries.This was a case-control study that looked at NFL players treated between 1992 and 2012, as well as participants at the NFL Combine. Ninety-six feet (51 athletes) were included. Fractures were present in 15 feet. Two reviewers assessed fifth metatarsal morphology and foot type on anteroposterior, lateral, and oblique radiographs. Differences in foot type and metatarsal morphology between athletes with and without fractures

2018 Foot & Ankle International

6. Intramedullary Screw Fixation of a Proximal Fifth Metatarsal Stress Fracture in an Elite Athlete: A Case Report (PubMed)

Intramedullary Screw Fixation of a Proximal Fifth Metatarsal Stress Fracture in an Elite Athlete: A Case Report Intramedullary screw fixation of proximal fifth metatarsal fractures is a simple surgical procedure, enabling early postoperative weight-bearing and subsequently rapid return to competitive sport, which is of great significance for elite athletes. The procedure is described in an elite basketball player in this article. Pes cavus and hindfoot varus alignment potentiate cyclic loading (...) onto the fifth metatarsal and should be addressed as it may represent underestimated factors concerning fracture prognosis.

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2017 The Surgery Journal

7. Metatarsal Stress Fracture

Metatarsal Stress Fracture Metatarsal Stress Fracture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Metatarsal Stress Fracture (...) Metatarsal Stress Fracture Aka: Metatarsal Stress Fracture , March Fracture From Related Chapters II. Epidemiology Second and Third s most commonly involved Military recruits (March Fracture) Ballet Dancers (associated with dance on toe tips) Fifth Metatarsal Stress Fractures are least common Associated with Differentiate from Increased risk of nonunion III. Symptoms Localized pain at site Initially pain onset only with activity IV. Signs Head Axial loading test positive (see ) Point tenderness over site

2018 FP Notebook

8. Characteristics of the Foot Static Alignment and the Plantar Pressure Associated with Fifth Metatarsal Stress Fracture History in Male Soccer Players: a Case-Control Study (PubMed)

Characteristics of the Foot Static Alignment and the Plantar Pressure Associated with Fifth Metatarsal Stress Fracture History in Male Soccer Players: a Case-Control Study There is a large amount of information regarding risk factors for fifth metatarsal stress fractures; however, there are few studies involving large numbers of subjects. This study aimed to compare the static foot alignment and distribution of foot pressure of athletes with and without a history of fifth metatarsal stress (...) fractures.The study participants comprised 335 collegiate male soccer players. Twenty-nine with a history of fifth metatarsal stress fractures were in the fracture group and 306 were in the control group (with subgroups as follows: 30 in the fracture foot group and 28 in the non-fracture group). We measured the foot length, arch height, weight-bearing leg-heel alignment, non-weight-bearing leg-heel alignment, forefoot angle relative to the rearfoot, forefoot angle relative to the horizontal axis, and foot

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2017 Sports medicine - open

9. Fifth Metatarsal Jones Fractures in the Athlete. (PubMed)

Fifth Metatarsal Jones Fractures in the Athlete. 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 (...) with intramedullary screw fixation is the standard approach. Technical tips on screw displacement are provided for Torg (types I, II, III) fractures, cavovarus foot fractures, recurrent fractures, revision surgery, occult fractures/high-grade stress reactions, and Jones' variants. Excellent clinical outcomes can be expected in 80% to 100% of patients when using the intramedullary screw fixation to "fit and fill" the medullary canal with threads across the fracture site. Most studies show the timing for return

2017 Foot & Ankle International

10. Stress (Fatigue/Insufficiency) Fracture, Including Sacrum, Excluding Other Vertebrae

-risk stress fractures include the anterior tibial diaphysis, lateral femoral neck and femoral head (see variant 2), patella, medial malleolus, navicular, fifth metatarsal base, proximal second metatarsal, tibial hallux sesamoid, and talus [43]. The second-line test to diagnose a stress fracture should be guided by the location of the patient’s pain and likelihood of high-risk injury. A follow-up radiographic examination has increased sensitivity compared to initial radiographs [8] but is less (...) Stress (Fatigue/Insufficiency) Fracture, Including Sacrum, Excluding Other Vertebrae American College of Radiology End User License Agreement ACR Appropriateness Criteria is a registered trademark of the American College of Radiology. By accessing the ACR Appropriateness Criteria®, you expressly agree and consent to the terms and conditions as described at: http://www.acr.org/~/media/ACR/Documents/AppCriteria/TermsandConditions.pdf Personal use of material is permitted for research, scientific

2016 American College of Radiology

11. Fifth Metatarsal Fracture

) Anticipate healed with union on XRay by 8 weeks VIII. Management: Diaphyseal Fractures (Jones Fracture or Diaphyseal Stress Fractures) Indications for orthopedic referral See Fifth Metatarsal Fracture for absolute referral indications Consider in all patients given higher risk of non-union Athletes may also benefit from referral by decreasing duration of healing time Displacement >2mm Inadequate healing after immobilization for 12 weeks Non-union on xray Initial management Posterior splint Non-weight (...) Fifth Metatarsal Fracture Fifth Metatarsal Fracture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Fifth Metatarsal Fracture Fifth

2018 FP Notebook

12. The effect of concentrated bone marrow aspirate in operative treatment of fifth metatarsal stress fractures; a double-blind randomized controlled trial. (PubMed)

The effect of concentrated bone marrow aspirate in operative treatment of fifth metatarsal stress fractures; a double-blind randomized controlled trial. 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. We hypothesize that using cB + cBMA in the operative treatment of MT-V stress fractures will lead to an earlier fracture union.A prospective, double-blind, randomized controlled trial (RCT) will be conducted in an academic medical center in the Netherlands. Ethics approval

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2015 BMC musculoskeletal disorders

13. Evaluating the Risk of a Fifth Metatarsal Stress Fracture by Measuring the Serum 25-Hydroxyvitamin D Levels. (PubMed)

Evaluating the Risk of a Fifth Metatarsal Stress Fracture by Measuring the Serum 25-Hydroxyvitamin D Levels. 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.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. We analyzed serum 25-hydroxyvitamin D (25-OHD), serum parathyroid hormone (PTH), as well as biochemical markers of bone turnover by univariate or multivariate analyses.Logistic regression analyses adjusted for multiple confounders revealed that insufficient serum 25-OHD levels less than 30 ng/mL (odds ratio [OR], 23.3), higher serum PTH levels (OR, 1.01), or higher serum bone-specific

2015 Foot & Ankle International

14. Metatarsal Stress Fracture (Diagnosis)

Metatarsal Stress Fracture (Diagnosis) Metatarsal Stress Fracture: Background, Epidemiology, Functional Anatomy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODU3NDYtb3ZlcnZpZXc= processing > Metatarsal Stress (...) Fracture Updated: Jan 16, 2019 Author: Valerie E Cothran, MD; Chief Editor: Craig C Young, MD Share Email Print Feedback Close Sections Sections Metatarsal Stress Fracture Overview Background With an increase in public interest in physical fitness, clinical practitioners are diagnosing stress fractures with greater frequency. [ , , ] 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

2014 eMedicine.com

15. Metatarsal Stress Fracture (Overview)

Metatarsal Stress Fracture (Overview) Metatarsal Stress Fracture: Background, Epidemiology, Functional Anatomy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODU3NDYtb3ZlcnZpZXc= processing > Metatarsal Stress (...) Fracture Updated: Jan 16, 2019 Author: Valerie E Cothran, MD; Chief Editor: Craig C Young, MD Share Email Print Feedback Close Sections Sections Metatarsal Stress Fracture Overview Background With an increase in public interest in physical fitness, clinical practitioners are diagnosing stress fractures with greater frequency. [ , , ] 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

2014 eMedicine.com

16. Metatarsal Stress Fracture (Treatment)

Metatarsal Stress Fracture (Treatment) Metatarsal Stress Fracture Treatment & Management: Acute Phase, Recovery Phase, Maintenance Phase Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODU3NDYtdHJlYXRtZW50 (...) processing > Metatarsal Stress Fracture Treatment & Management Updated: Jan 16, 2019 Author: Valerie E Cothran, MD; Chief Editor: Craig C Young, MD Share Email Print Feedback Close Sections Sections Metatarsal Stress Fracture Treatment Acute Phase Rehabilitation Program Physical Therapy The patient should rest from the offending activity. Immobilization is recommended for comfort, with use of a postoperative (wooden-soled) shoe or short CAM Walker (Bird and Cronin, Inc, Eagan, Minn). It is important

2014 eMedicine.com

17. Metatarsal Stress Fracture (Follow-up)

Metatarsal Stress Fracture (Follow-up) Metatarsal Stress Fracture Follow-up: Return to Play, Complications, Prevention Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODU3NDYtZm9sbG93dXA= processing > Metatarsal (...) Stress Fracture Follow-up Updated: Jan 16, 2019 Author: Valerie E Cothran, MD; Chief Editor: Craig C Young, MD Share Email Print Feedback Close Sections Sections Metatarsal Stress Fracture Follow-up Return to Play See the list below: After recovery from metatarsal stress fractures, patients may return to play when they can participate without pain. The intensity and duration of activities need to be increased slowly, and the patient must adhere to regular rest periods. Next: Complications See

2014 eMedicine.com

18. Fifth Metatarsal Fracture

) Anticipate healed with union on XRay by 8 weeks VIII. Management: Diaphyseal Fractures (Jones Fracture or Diaphyseal Stress Fractures) Indications for orthopedic referral See Fifth Metatarsal Fracture for absolute referral indications Consider in all patients given higher risk of non-union Athletes may also benefit from referral by decreasing duration of healing time Displacement >2mm Inadequate healing after immobilization for 12 weeks Non-union on xray Initial management Posterior splint Non-weight (...) Fifth Metatarsal Fracture Fifth Metatarsal Fracture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Fifth Metatarsal Fracture Fifth

2016 FP Notebook

19. Epidemiology of metatarsal stress fractures versus tibial and femoral stress fractures during elite training. (PubMed)

Epidemiology of metatarsal stress fractures versus tibial and femoral stress fractures during elite training. The training of elite infantry recruits takes a year or more. Stress fractures are known to be endemic in their basic training and the clinical presentation of tibial, femoral, and metatarsal stress fractures are different. Stress fracture incidence during the subsequent progressively more demanding training is not known. The study hypothesis was that after an adaptation period (...) assessed using bone scan and X-rays.The incidence of stress fractures was 20% during basic training, 14% during advanced training and 23% during unit training. There was a statistically significant difference in the incidence of tibial and femoral stress fractures versus metatarsal stress fractures before and after the completion of phase II training at week 26 (p=0.0001). Seventy-eight percent of the stress fractures during phases I and II training were either tibial or femoral, while 91

2011 Foot & Ankle International

20. Lower limb stress fractures in sport: Optimising their management and outcome (PubMed)

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. These include stress fractures of the Postero-Medial Tibial Diaphysis, Metatarsal Shafts, Distal Fibula, Medial Femoral Neck, Femoral Shaft and Calcaneus. "High risk" stress fractures, in contrast, have increased rates of fracture (...) propagation, displacement, delayed and non-union, and so require immediate cessation of activity, with orthopaedic referral, to assess the need for surgical intervention. These include stress fractures of the Anterior Tibial Diaphysis, Fifth Metatarsal Base, Medial Malleolus, Lateral Femoral Neck, Tarsal Navicular and Great Toe Sesamoids. In order to establish the optimal methods for managing these injuries, we present and review the current evidence which guides the treatment of stress fractures

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2017 World journal of orthopedics

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