Fractures of the Forefoot

Mandracchia, Vincent J.; Mandi, Denise M.; Toney, Patris A.; Halligan, Jennifer B.; Nickles, W.Ashton

doi:10.1016/j.cpm.2006.01.009

Cited by 9 publications

(11 citation statements)

References 56 publications

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“…Stress fractures of the navicular are especially common in athletes, particularly in runners, in whom up to 60% of navicular stress fractures occur. 2,19,35 …”

Section: Pathologymentioning

confidence: 99%

“…Fractures of the midshaft are generally fatigue fractures related to chronic stress. 19 A common fracture mimic in this region is the unfused fifth metatarsal base apophysis, which is typically present in 9- to 14-year-olds; unlike fractures which occur in this area, the lucent line associated with an unfused apophysis is always longitudinally oriented (Figure 14C), and comparison radiographs of the contralateral foot are helpful in equivocal cases.…”

Section: Pathologymentioning

confidence: 99%

“…Stress injury may be radiographically subtle or occult; for example, low-grade stress reaction manifests as focal marrow edema on MRI, often without associated radiographic findings. 19 …”

Section: Pathologymentioning

confidence: 99%

“…Stress fractures of the navicular are especially common in athletes, particularly in runners, in whom up to 60% of navicular stress fractures occur. 2,19,35 Navicular stress fractures are typically oriented in the sagittal plane and are therefore most conspicuous on oblique coronal and axial images. They manifest as areas of marrow edema about a linear focus of low-signal intensity representing the fracture line and may be partial or complete.…”

Section: Osseous Injurymentioning

confidence: 99%

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Imaging of Sports-Related Midfoot and Forefoot Injuries

2012

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Sports-related injuries of the foot are common and may result in significant morbidity, particularly if inaccurate or delayed diagnosis leads to improper management. While less common than injuries of the ankle, sports-related foot injuries account for 2% to 18% of athletic injuries. Injury may occur as a result of acute trauma or chronic overuse, and high-impact sports that involve running, jumping, or contact place the athlete at higher risk for injury. Accurate and timely diagnosis of injury is the key to proper management, and diagnostic imaging studies often play a critical role in this regard. While radiographs, computerized tomography scans, and ultrasound are useful in the evaluation of the foot, magnetic resonance imaging provides superior tissue contrast as well as the ability to detect stress reaction in bone that precedes discernible fracture line on radiographs, allowing accurate detection of both osseous and soft tissue pathology. This review focuses on imaging of common sports-related injuries of the midfoot and forefoot, including osseous, ligamentous, and tendinous pathology, with emphasis on magnetic resonance imaging diagnosis.

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“…Stress fractures of the navicular are especially common in athletes, particularly in runners, in whom up to 60% of navicular stress fractures occur. 2,19,35 …”

Section: Pathologymentioning

confidence: 99%

Section: Pathologymentioning

confidence: 99%

“…Stress injury may be radiographically subtle or occult; for example, low-grade stress reaction manifests as focal marrow edema on MRI, often without associated radiographic findings. 19 …”

Section: Pathologymentioning

confidence: 99%

Section: Osseous Injurymentioning

confidence: 99%

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Imaging of Sports-Related Midfoot and Forefoot Injuries

2012

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“…Forefoot trauma including metatarsal bones and toes is one of the most common orthopedic injuries (1)(2)(3). These injuries can be associated with protracted recovery and the long-lasting decreased performance (4,5).…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Nonoperative Treatment of Forefoot Fractures: Casting Versus Off-Loading Shoes

Taheriazam¹,

Esmailiejah²,

Keyhani³

et al. 2016

Trauma Mon

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Background: Although forefoot fractures are of the most common orthopedic injuries, there are limited studies regarding the outcomes of nonoperative treatment of these fractures. In the current randomized clinical trial, for the first time, we evaluated the outcomes of nonoperative treatment of metatarsal bone fractures using off-loading shoes compared with casting. Methods: In this study, there were 60 patients with metatarsal fractures without indications for surgical management who were assigned to the two equal groups: casting (group C) and off-loading shoe (group OS). The rate of fracture union was investigated. Also, the pain severity and patient satisfaction were measured based on visual analogue scale (VAS). Patients were followed for six months. In the last examination, American foot and ankle score (AOFAS) was completed. Finally, the outcomes were compared between two groups.

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Orthopedic Hardware

Chong¹,

Bhatia²

2023

Medical Radiology

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Fractures of the Forefoot

Cited by 9 publications

References 56 publications

Imaging of Sports-Related Midfoot and Forefoot Injuries

Imaging of Sports-Related Midfoot and Forefoot Injuries

Outcomes of Nonoperative Treatment of Forefoot Fractures: Casting Versus Off-Loading Shoes

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