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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.
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 impair blood flow to the end of the metatarsal resulting in the death of bone cells (osteonecrosis).
Stress fracture of the second metatarsal bone (below the knuckles of the second toe) ... For low-risk stress fractures, rest is the best management option. The amount ...
Stress fractures are thought to account for 16% of injuries related to sports participation, and the metatarsals are the bones most often involved. 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 ...
intra articular comminuted fracture of base of first metacarpal: axial load along the metacarpal causing splitting of the proximal articular surface: Rolando's fracture at Wheeless' Textbook of Orthopaedics online Runner's fracture: Running: stress fracture of distal fibula 3–8 cm above the lateral malleolus: repeated axial stress on fibula
Second metatarsal bone elongation, also known as Morton's toe (or Morton's foot) is a normal variation of the second metatarsal present in about 25% of the total population. Although normal, Morton's toe causes extra- inversion of the foot and thereby puts more stress on the lateral part of the meniscus of the knee, promotes lordosis of the ...
Lisfranc fracture, with an increased distance between the medial cuneiform and the second metatarsal. The Lisfranc ligament connects the medial cuneiform bone to the second metatarsal. [2] It is a complex of 3 ligaments: the dorsal Lisfranc ligament, the interosseous Lisfranc ligament, and the plantar Lisfranc ligament. [2] [3]
Jones fracture – a fracture of the proximal end of the fifth metatarsal; March fracture – a fracture of the distal third of one of the metatarsals occurring because of recurrent stress; Cuneiform fracture – a fracture of one of the three cuneiform bones typically due to direct blow, axial load, or avulsion [20]
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