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There is any pain in the midfoot zone; and, Any one of the following: Bone tenderness at the base of the fifth metatarsal (for foot injuries), OR; Bone tenderness at the navicular bone (for foot injuries), OR; An inability to bear weight both immediately and in the emergency department for four steps.
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.
Pseudo-Jones fracture. Other proximal fifth metatarsal fractures exist, although they are not as problematic as a Jones fracture. If the fracture enters the intermetatarsal joint, it is a Jones fracture. If, however, it enters the tarsometatarsal joint, then it is likely an avulsion fracture caused by pull from the fibularis brevis tendon.
Proximal fractures of 5th metatarsal. The tuberosity avulsion fracture (also known as pseudo-Jones fracture or dancer's fracture [2] is a common fracture of the fifth metatarsal (the bone on the outside edge of the foot extending to the little toe). [3] This fracture is likely caused by the lateral band of the plantar aponeurosis (tendon). [4]
Superior femoral neck stress fractures, if left untreated, can progress to become complete fractures with avascular necrosis, and should also be managed surgically. [13] Proximal metadiaphyseal fractures of the fifth metatarsal (middle of the outside edge of the foot) are also notorious for poor bone healing. [13]
A Lisfranc injury, also known as Lisfranc fracture, is an injury of the foot in which one or more of the metatarsal bones are displaced from the tarsus. [1] [2]The injury is named after Jacques Lisfranc de St. Martin, a French surgeon and gynecologist who noticed this fracture pattern amongst cavalrymen in 1815, after the War of the Sixth Coalition.
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 ...
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.
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