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Occasionally, a physician may decide imaging studies (such as X-rays, diagnostic ultrasound, or MRI) are warranted to rule out serious causes of foot pain. Other diagnoses that are typically considered include fractures, tumors, or systemic disease if plantar fasciitis pain fails to respond appropriately to conservative medical treatments.
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]
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).
While cuneiform fractures are fairly rare, the most commonly fractured cuneiform bone is the Medial cuneiform, typically the cause of a cuneiform fracture is by physical trauma (direct blow) to the cuneiform, as well as the result of an avulsion fracture and a result of axial load, [5] but can also be the result of a stress reaction that progressed with continued weight-bearing and physical ...
A Los Angeles County Superior Court jury awarded a Lancaster man $58.35 million in damages after the train worker fell on the job. How a worker who suffered a microfracture of his foot ended up ...
However, they make up 60% of fractures of the mid foot bones. [2] Undisplaced fractures may heal in around three months while more significant fractures can take two years. [1] Difficulties such as arthritis and decreased range of motion of the foot may remain. [1]
If there is diffuse pain and tenderness across the foot, it may be necessary to X-ray the whole foot. [8] For displaced fractures, follow-up X-rays may be taken 3-6 weeks after injury. [3] If a dislocated toe (a joint dislocation) is suspected, an X-ray may needed. [7] In people with multiple traumas, foot trauma is often neglected. [10]
Infection: this is the most common complication of fractures and predominantly occurs in open fractures. Post-traumatic wound infection is the most common cause of chronic osteomyelitis in patients. Osteomyelitis can also occur following surgical fixation of a fracture. [8] Non-union: no progression of healing within six months of a fracture ...
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