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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 ...
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).
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.
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]
Of the three types of occult fractures mentioned above, the latter two, fatigue fracture secondary to repetitive and unusual stress being applied to bone with normal elastic resistance, and insufficiency fracture resulting from normal or minimal stress on a bone with decreased elastic resistance are also described as "stress fractures". [1]
Fractures of big toes make up about a fifth [3] or third [8] of all toe fractures, and 5.5% of all foot and ankle fractures in major US trauma hospitals. [10] Toe fractures are the most common foot fractures. [8] About 20% of broken toes involve open wounds. [10]
These include shoe-fitting problems, [2] lateral ankle instability, [3] lower limb stress fractures, [4] knee pain, [5] iliotibial band syndrome, [6] back pain [7] and tripping. [ 2 ] Foot pain in people with pes cavus may result from abnormal plantar pressure loading because, structurally, the cavoid foot is regarded as being rigid and non ...
Its vascular and biomechanical properties make it susceptible to injury. This may partly explain a higher risk of stress fractures and osteonecrosis in this location. Athletes who run, cut and pivot are particularly susceptible to injuries in this area. It is known as the keystone of the foot [10] and injuries to it can be "exasperating." [11]
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