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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]
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 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.
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.
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 ...
A Lisfranc injury, also known as Lisfranc fracture, is an injury of the foot in which one or more of the metatarsal bones are displaced from the tarsus. [1] [2]The injury is named after Jacques Lisfranc de St. Martin, a French surgeon and gynecologist who noticed this fracture pattern amongst cavalrymen in 1815, after the War of the Sixth Coalition.
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Type 1: The head of the 5th metatarsal is thickened and enlarged. Type 2: A 5th metatarsal with an increased lateral curve and a normal fourth and fifth inter-metatarsal angle. Type 3: Has the greatest lateral angular disposition of the 5th metatarsal compared to the 4th metatarsal, this phenomenon increases the 4th and 5th inter-metatarsal angles.