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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 controlled ankle motion walking boot, also referred to as a controlled ankle movement walking boot, below knee walking boot, CAM boot, CAM walker, or moon boot, is an orthopedic device prescribed for the treatment and stabilization of severe sprains, [3] fractures, and tendon or ligament tears in the ankle or foot.
Surgical Management :If nonoperative treatments are ineffective after several months, surgical options may be considered, including: Debridement: Removal of damaged tissue and bone to relieve pain and improve function. Osteotomy: Surgical realignment of the metatarsal to relieve pressure on the affected joint.
In cases of fibular stress fractures, pain occurs proximal to the lateral malleolus, that increases with activity and subsides with rest. [4] If pain is constantly present it may indicate a more serious bone injury. [5] There is usually an area of localized tenderness on or near the bone and generalized swelling in the area.
The third metatarsal bone is a long bone in the foot. It is the second longest metatarsal, the longest being the second metatarsal. The third metatarsal is analogous to the third metacarpal bone in the hand [1] Like the four other metatarsal bones, it can be divided into three part: base, body and head.
An avulsion fracture at the base of the fifth metatarsal is sometimes called a "dancer's fracture" or a "pseudo Jones fracture", and usually responds readily to non-operative treatment. [18] The X-ray appearance of the developmental "apophysis" in this area may have some resemblance of a fracture, but is not a fracture; it is the secondary ...
Surgery is also an option, if the pain and discomfort cannot be treated, or for cosmetic reasons. In this procedure, the short metatarsal is typically cut and a piece of bone is grafted between the two ends. In some cases, an external fixator may be attached to the metatarsal with pins. Within the external fixator is an adjustable screw that ...
In some developing countries, traditional bone-setters are popular and can be the only address for treatment of bone-related injuries. Most often it will be the case that there is a shortage of orthopedic doctors and surgeons in the country and so the two practitioners coexist in the same setting.
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