First Metatarsal Stress Fracture

NewsBot · Mar 16, 2023

Members do not see these Ads. Sign Up.
Stress Fracture of the Base of the First Metatarsal Bone
Aug 30, 2012

Case study: Avid runner with midfoot pain: Stress fracture? Lisfranc ligament injury? Synovitis? The description of this rare fracture of the first metatarsal bone illustrates the importance of history and investigation.

ABSTRACT: A 29-year-old white man who is an avid runner presented with a 2½-year history of left midfoot pain on the dorsal area of the first metatarsal-cuneiform joint. Possible disorders included stress fracture of the base of the first metatarsal bone, Lisfranc ligament injury, extensor tendinopathy of the tibialis anterior tendon, synovitis of the metatarsal-cuneiform joint, and bone tumors. On the basis of the history and physical examination findings, stress fracture of the base of the first metatarsal bone was the diagnosis. The patient was placed in a foot and ankle brace for 6 to 8 weeks and received physiotherapy, forefoot strapping, and orthoses. The pain was alleviated significantly, and the patient resumed regular physical activity.

Leonardo da Vinci described the foot, an area of the lower extremities with a complex anatomy and biomechanics, as a “masterpiece of engineering.” However, forefoot injury often results from acute trauma or chronic overuse in athletes who participate in high-impact sports that involve running and jumping. The most common causes of forefoot pain in athletes are metatarsal stress fracture, sesamoid pathology, metatarsalgia, hallux valgus, and turf toe. A detailed history is vital in making a differential diagnosis and a diagnosis supported by investigations to provide a structured treatment plan.1,2

In this article, we present a rare case of stress fracture of the base of the first metatarsal bone in a young runner. The goal is to illustrate the importance of the history and investigations in the management of foot pain in athletes.
Click to expand...

NewsBot The Admin that posts the news.

Can a metatarsal stress fracture be caused by a metatarsal pad?

4th metatarsal stress fracture pain

4th metatarsal stress fracture - 9 months (!)

2nd Metatarsal Stress Fracture Not Healing

pain in 4th and 5th metatarsal three years after stress fractures

Metatarsal stress fractures in cricket fast bowlers

"almost" stress fracture 5th metatarsal

Share This Page