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In runners, march fracture occurs most often in the metatarsal neck, while in dancers it occurs in the proximal shaft. In ballet dancers, fracture mostly occurs at the base of the second metatarsal and at Lisfranc joints. This fracture always occurs following a prolonged stress or weight bearing, and the history of direct trauma is very rare.
A Jones fracture is a broken bone in a specific part of the fifth metatarsal of the foot between the base and middle part [8] that is known for its high rate of delayed healing or nonunion. [4] It results in pain near the midportion of the foot on the outside. [ 2 ]
These fractures are sometimes called march fractures, based on their traditional association with military recruits after long marches. The second and third metatarsals are fixed while walking, thus these metatarsals are common sites of injury. The fifth metatarsal may be fractured if the foot is oversupinated during locomotion. [9]
The fifth metatarsal bone is a long bone in the foot, and is palpable along the distal outer edges of the feet. It is the second smallest of the five metatarsal bones. The fifth metatarsal is analogous to the fifth metacarpal bone in the hand. [1] As with the four other metatarsal bones it can be divided into three parts; a base, body and head.
Practical Fracture Treatment 5th edition, page 187. Elsevier Health Sciences, 2008. ISBN 978-0-443-06876-8. Jefferson fracture: Sir Geoffrey Jefferson: fracture of first cervical vertebra: compression of neck: Jefferson fracture at Who Named It? Jones fracture: Sir Robert Jones: fracture of base of 5th metatarsal extending into intermetatarsal ...
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).
Evidence supports the rules as an accurate instrument for excluding fractures of the ankle and mid-foot, reducing the number of unnecessary investigations and length of stay in emergency departments. [3] The original study reported that the test was 100% sensitive and reduced the number of ankle X-rays by 36%. [4]
Jones fracture – a fracture of the proximal end of the fifth metatarsal; March fracture – a fracture of the distal third of one of the metatarsals occurring because of recurrent stress; Cuneiform fracture – a fracture of one of the three cuneiform bones typically due to direct blow, axial load, or avulsion [20]