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March fracture is the fracture of the distal third of one of the metatarsal bones occurring because of recurrent stress. It is more common in soldiers, but also occurs in hikers, organists, and other people whose duties entail much standing (such as hospital doctors).
Surgical Management :If nonoperative treatments are ineffective after several months, surgical options may be considered, including: Debridement: Removal of damaged tissue and bone to relieve pain and improve function. Osteotomy: Surgical realignment of the metatarsal to relieve pressure on the affected joint.
Stress fractures of the foot are sometimes called "march fractures" because of the injury's prevalence among heavily marching soldiers. [2] Stress fractures most frequently occur in weight-bearing bones of the lower extremities, such as the tibia and fibula (bones of the lower leg), metatarsal and navicular bones (bones of the foot).
Pain on completion of the stork test (placed in hyperextension and rotation) Excessive lordotic posture; Unilateral tenderness on palpation; Visible on diagnostic imaging (Scottie dog fracture [6]) Symptoms: [4] [5] Unilateral low back pain; Pain that radiates into the buttocks or legs; Onset of pain can be acute or gradual; Pain that can ...
Shin splint pain is described as a recurring dull ache, sometimes becoming an intense pain, along the inner part of the lower two-thirds of the tibia. [4] The pain increases during exercise, and some individuals experience swelling in the pain area. [5] In contrast, stress fracture pain is localized to the fracture site. [6]
While cuneiform fractures are fairly rare, the most commonly fractured cuneiform bone is the Medial cuneiform, typically the cause of a cuneiform fracture is by physical trauma (direct blow) to the cuneiform, as well as the result of an avulsion fracture and a result of axial load, [5] but can also be the result of a stress reaction that progressed with continued weight-bearing and physical ...
X-ray showing the proximal portion of a fractured tibia with an intramedullary nail The surgical treatment of mandibular angle fracture; fixation of the bone fragments by the plates, the principles of osteosynthesis are stability (immobility of the fragments that creates the conditions for bones coalescence) and functionality Proximal femur ...
A compression fracture is a collapse of a vertebra. It may be due to trauma or due to a weakening of the vertebra (compare with burst fracture ). This weakening is seen in patients with osteoporosis or osteogenesis imperfecta , lytic lesions from metastatic or primary tumors , [ 1 ] or infection. [ 2 ]