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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 ossification center of the metatarsal bone. It is a normal finding that occurs at this site in adolescents. [19]
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] Protection from injuries can be given by the use of safety footwear which can use built-in or removable metatarsal guards.
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]
The dorsal ligaments are strong, flat bands.. The first metatarsal is joined to the first cuneiform by a broad, thin band; the second has three, one from each cuneiform bone; the third has one from the third cuneiform; the fourth has one from the third cuneiform and one from the cuboid; and the fifth, one from the cuboid.
In the foot—the first metatarsal bone usually has two sesamoid bones at its connection to the big toe (both within the tendon of flexor hallucis brevis). [10] One is found on the lateral side of the first metatarsal while the other is found on the medial side. In some people, only a single sesamoid is found on the first metatarsal bone.
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 ...
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X-ray showing measurements of HV and IM angles of hallux valgus. Bunions can be diagnosed and analyzed with a simple x-ray, which should be taken with the weight on the foot. [10] The hallux valgus angle (HVA) is the angle between the long axes of the proximal phalanx and the first metatarsal bone of the big toe.