A comparative overview of metatarsal stress fractures in premenopausal and postmenopausal women: our single-centre experience with eighty-one patients

Güler, Olcay; Çerci, Mehmet Halis

doi:10.1007/s00264-020-04528-7

Cited by 3 publications

(5 citation statements)

References 19 publications

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“…It was reported that serum levels of vitamin D were lower in postmenopausal women, and the risk of stress fracture was higher in this regard. [23] However, some studies have shown that there is no significant correlation between metatarsal base fracture and osteoporosis. Bridges and Ruddick [24] reported that patients with metatarsal fracture have a normal age-matched BMD.…”

Section: Discussionmentioning

confidence: 99%

“…[ 7 , 22 ] Varenna et al [ 6 ] reported an association between low T-score level at L-spine and metatarsal base fracture. Guler and Cerci [ 23 ] analyzed Zone 3 stress fracture of 5th metatarsal base in premenopausal and postmenopausal women. It was reported that serum levels of vitamin D were lower in postmenopausal women, and the risk of stress fracture was higher in this regard.…”

Section: Discussionmentioning

confidence: 99%

“…It was reported that serum levels of vitamin D were lower in postmenopausal women, and the risk of stress fracture was higher in this regard. [ 23 ]…”

Section: Discussionmentioning

confidence: 99%

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Association between Bone Mineral Density and Fracture Characteristics in the 5th Metatarsal Bone Base Fracture in Elderly for Prediction of Osteoporotic Fracture

et al. 2021

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Background: This study aimed to analyze the correlation between bone mineral density (BMD) and the type of 5th metatarsal fracture, as well as to demonstrate whether there is a difference in radiological findings (heel alignment angle [HAA], heel moment arm [HMA], and metatarsus angle) between fracture types.Methods: A total of 87 patients were enrolled in the study and allocated into 3 groups: the Zone 1 group (N=36), the Zone 2 group (N=33), and the Zone 3 group (N=18). The participants’ demographic data, T-scores, existing fracture or osteoporosis medications, and radiologic parameters including HAA, HMA, and metatarsus adductus angle were analyzed and compared.Results: There was a significant difference between the mean age of the participants, with the highest age in the Zone 1 group and the lowest in the Zone 3 group. Regarding the history of concurrent fracture or osteoporosis medications, there was no significant difference between the 3 groups. Similarly, no significant difference was observed between the 3 groups about the BMD values. In contrast, the HAA was statistically significant in all groups with a positive correlation of -8.9 in the Zone 1 group, a negative correlation of 3.55 in the Zone 2 group, and an inverse relationship of 6.1 in the Zone 3 group. The metatarsus adductus angle was significantly higher in the Zone 3 group than the Zone 1 and Zone 2 groups.Conclusions: The location of a 5th metatarsal bone fracture is not significantly associated with BMD. However, mechanical influences, such as hindfoot varus or forefoot adductus, have a significant correlation with fracture types.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Association between Bone Mineral Density and Fracture Characteristics in the 5th Metatarsal Bone Base Fracture in Elderly for Prediction of Osteoporotic Fracture

et al. 2021

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“…For areas in which a suspected fracture would be difficult to palpate, such as the femoral neck, it is important to evaluate for pain with range of motion of the joint. The pelvis and sacrum require the clinician to have a higher index of suspicion from the history alone (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29).…”

Section: Physical Exammentioning

confidence: 99%

“…Bone mineral density (BMD): The importance of BMD to SF is controversial, with studies showing correlation of low BMD with higher rates of SF ( 6 , 9 , 21 ) and others not ( 6 , 22 ), although oligo/amenorrheic athletes with SF had lower whole body and spine BMD ( 21 ). Postmenopausal women fracture at a higher T-score than premenopausal women with SF do ( 23 ).…”

Section: Introductionmentioning

confidence: 99%

Stress fractures

Costa¹,

Borba²,

Corrêa³

et al. 2022

Archives of Endocrinology and Metabolism

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Stress fractures (SF) represent 10%-20% of all injuries in sport medicine. An SF occurs when abnormal and repetitive loading is applied on normal bone: The body cannot adapt quickly enough, leading to microdamage and fracture. The etiology is multifactorial with numerous risk factors involved. Diagnosis of SF can be achieved by identifying intrinsic and extrinsic factors, obtaining a good history, performing a physical exam, and ordering laboratory and imaging studies (magnetic resonance imaging is the current gold standard). Relative energy deficiency in sport (RED-S) is a known risk factor. In addition, for women, it is very important know the menstrual status to identify long periods of amenorrhea in the past and the present. Early detection is important to improve the chance of symptom resolution with conservative treatment. Common presentation involves complaints of localized pain, with or without swelling, and tenderness on palpation of bony structures that begins earlier in training and progressively worsens with activity over a 2-to 3-week period. Appropriate classification of SF based on type, location, grading, and low or high risk is critical in guiding treatment strategies and influencing the time to return to sport. Stress injuries at low-risk sites are typically managed conservatively. Studies have suggested that calcium and vitamin D supplementation might be helpful. Moreover, other treatment regimens are not well established. Understanding better the pathophysiology of SFs and the potential utility of current and future boneactive therapeutics may well yield approaches that could treat SFs more effectively.

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Adding liver R2* quantification to proton density fat fraction MRI of vertebral bone marrow improves the prediction of osteoporosis

Zhao

et al. 2022

Eur Radiol

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A comparative overview of metatarsal stress fractures in premenopausal and postmenopausal women: our single-centre experience with eighty-one patients

Cited by 3 publications

References 19 publications

Association between Bone Mineral Density and Fracture Characteristics in the 5th Metatarsal Bone Base Fracture in Elderly for Prediction of Osteoporotic Fracture

Association between Bone Mineral Density and Fracture Characteristics in the 5th Metatarsal Bone Base Fracture in Elderly for Prediction of Osteoporotic Fracture

Stress fractures

Adding liver R2* quantification to proton density fat fraction MRI of vertebral bone marrow improves the prediction of osteoporosis

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