Phalangeal Stress Fractures

NewsBot · Oct 17, 2017

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Stress fracture of the second proximal phalanx of the foot in teenage athletes: Unrecognized location of stress fracture
Satoshi Yamaguchi et al
Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology
Volume 10, October 2017, Pages 12–16

Background
Adolescent athletes are a high-risk population for stress fractures. We report four cases of stress fractures of the second proximal phalanx, which had not been previously diagnosed as the location of the stress fracture of the foot, in teenage athletes.

Case report
All fractures were on the plantar side of the proximal phalangeal base, and the oblique images of the plain radiograph clearly depicted the fractures. Notably, three out of the four patients had histories of stress fracture of other locations. While three athletes with acute cases were able to make an early return to play with simple conservative management, the chronic case required surgical treatment for this rare injury.

Conclusion
Although a rare injury, it is important that clinicians be aware of this type of stress fracture, as a timely diagnosis can avoid the need for surgical treatment and allow an early return to play.
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NewsBot · Mar 11, 2022

Neglected Stress Fracture of the Second Proximal Phalanx in a Teenage Triathlete
Sergio Tejero and Francisco Javier Durán-Garrido
03 Mar 2022

We present a case of nondiagnosed comminuted stress fracture of the base of the proximal phalanx associated with flexor digitalis longus rupture in a teenage athlete. To our knowledge, there is no description in the literature of such a combination of injuries due to delayed diagnosis and incorrect treatment, including injections in the metatarsophalangeal joint of the second toe. The present article focuses on the importance of clinical suspicion of this rare lesion to achieve early diagnosis and avoid surgical treatment. Finally, the surgical technique used to treat this uncommon injury in the chronic phase, which yielded an excellent outcome in this teenage athlete, is described.
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NewsBot · Apr 18, 2023

Fifth Distal Phalanx Avulsion Fracture in a High-Level Marathon Runner
Eric Chun-Pu Chu et al
Cureus. 2023 Apr 12;15(4):e37468

Fifth metatarsal fractures are common foot injuries that involve the long bone on the outer side of the foot, and avulsion fractures involving the short bone and the fifth distal phalanx of the foot have never been reported. A 25-year-old female marathon runner sustained an avulsion fracture of the distal lateral phalanges of the fifth metatarsal. The patient's high functional demands necessitated a conservative approach to minimize complications and facilitate efficient fracture healing. The patient underwent a comprehensive chiropractic rehabilitation program that focused on progressive weight-bearing exercises, range-of-motion activities, strengthening exercises, instrument-assisted soft tissue mobilization (IASTM), therapeutic ultrasound, and laser therapy to stimulate the speed of healing. The patient's progression was closely monitored throughout the rehabilitation process. Because of the nonoperative management and chiropractic rehabilitation, the patient successfully returned to her running activities within a six-week duration. This case demonstrates the effectiveness of nonoperative management and chiropractic rehabilitation in promoting the healing of avulsion fractures of the fifth metatarsal in high-level athletes. This conservative approach can facilitate a safe and efficient return to running activities while minimizing complications and reinjury risks.
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