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Stress fractures most frequently occur in weight-bearing bones of the lower extremities, such as the tibia and fibula (bones of the lower leg), calcaneus (heel bone), metatarsal and navicular bones (bones of the foot). Less common are stress fractures to the femur, pelvis, sacrum, lumbar spine (lower back), hips, hands, and writs. Stress ...
Freiberg disease, also known as a Freiberg infraction, is a form of avascular necrosis in the metatarsal bone of the foot. It generally develops in the second metatarsal, but can occur in any metatarsal. Physical stress causes multiple tiny fractures where the middle of the metatarsal meets the growth plate.
It is more common in soldiers, but also occurs in hikers, organists, and other people whose duties entail much standing (such as hospital doctors). March fractures most commonly occur in the second and third metatarsal bones of the foot. [1] [2] [3] It is a common cause of foot pain, especially when people suddenly increase their activities. [4]
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This stage appears on MRI as an isolated bone marrow edema pattern without a fracture line and is called stress reaction. Then, periosteal new bone forms and may be visible on radiography. Full cortical fractures occur if the repetitive stress continues. Only timely detection and appropriate management can interrupt this sequence. [1]
Other potential causes include stress fractures, compartment syndrome, nerve entrapment, and popliteal artery entrapment syndrome. [18] If the cause is unclear, medical imaging such as a bone scan or magnetic resonance imaging (MRI) may be performed. [3] Bone scans and MRI can differentiate between stress fractures and shin splints. [12]
In 2010 some football players began testing a new sock that incorporated a rubber silicone pad over the foot to provide protection to the top of the foot. [8] Stress fractures are thought to account for 16% of injuries related to sports participation, and the metatarsals are the bones most often involved.
An avulsion fracture at the base of the fifth metatarsal is sometimes called a "dancer's fracture" or a "pseudo Jones fracture", and usually responds readily to non-operative treatment. [18] The X-ray appearance of the developmental "apophysis" in this area may have some resemblance of a fracture, but is not a fracture; it is the secondary ...
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