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Lisfranc fracture (marked by the oval). This case also has fractures of the distal second (marked by the arrow), third, and fourth metatarsal bones.. In a high energy injury to the midfoot, such as a fall from a height or a motor vehicle accident, the diagnosis of a Lisfranc injury should, in theory at least, pose less of a challenge.
The fourth metatarsal bone is a long bone in the foot. It is smaller in size than the third metatarsal bone and is the third longest (and smallest) of the five metatarsal bones. The fourth metatarsal is analogous to the fourth metacarpal bone in the hand [1] As the four other metatarsals bones it can be divided into three parts; base, body and ...
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]
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.
The synovial membrane between the second and third cuneiforms behind, and the second and third metatarsal bones in front, is part of the great tarsal synovial membrane. Two prolongations are sent forward from it, one between the adjacent sides of the second and third, and another between those of the third and fourth metatarsal bones.
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.
unstable spinal fracture-dislocation at the thoracolumbar junction: Thoracic Spine Fractures and Dislocations at eMedicine: Hume fracture: A.C. Hume: olecranon fracture with anterior dislocation of radial head: Ronald McRae, Maxx Esser. Practical Fracture Treatment 5th edition, page 187. Elsevier Health Sciences, 2008.
The third metatarsal bone articulates proximally, by means of a triangular smooth surface, with the third cuneiform; medially, by two facets, with the second metatarsal; and laterally, by a single facet, with the fourth metatarsal. This last facet is situated at the dorsal angle of the base.