Stress fracture of the cuneiform bones

Stress Fractures about the Foot and Ankle in Athletes

“…42 In 1980, Meurman provided a case report of a stress fracture of the third cuneiform in a military recruit. 19 In a report of 827 military recruits, only three fractures in the cuneiform bones (two medial and one lateral) and one fracture in the lateral malleolus were found. 19 All patients experienced swelling and had point tenderness on exam.…”

“…17 A history that includes a rapid increase in mileage, intensity, or duration of activity, changes in playing surface or sport, or inadequate rest periods should raise the suspicion of a stress fracture. [1][2][3][4][5][7][8][9]13,[18][19][20] A thorough history including diet, nutrition, medications, daily activities, footwear, and menstrual cycles in females should be discussed. 1,2,4,5,8,13,14,21 On physical exam, pain may be elicited with weightbearing, joint motion, or palpation, and in more superficial areas, edema, warmth, ecchymosis or even a palpable callus may be present.…”

“…1,2,4,5,8,13,14,21 On physical exam, pain may be elicited with weightbearing, joint motion, or palpation, and in more superficial areas, edema, warmth, ecchymosis or even a palpable callus may be present. [1][2][3][4][5][7][8][9]13,[18][19][20] Assessment of limb alignment and length discrepancies, gait, passive range of motion, tendon function, and callosities provides information about repetitive stresses placed on the symptomatic area. 22 Noting alignment and flexibility of any foot or ankle deformities can provide insight into the underlying causes of the pathology.…”

“…Cuboid, cuneiform, and lateral malleolus stress fractures are rare and reported in the literature predominantly as case reports. 18,19,42,69,70 Much like high-risk stress fractures of the foot, low-risk stress fractures of the foot are common in patients undergoing new occupations or physical training regimens involving repetitive motions. 4,7,[18][19][20]…”

“…Cuneiform stress fractures were first reported in by Maseritz in 1936 as a March Fracture of the first cuneiform in conjunction with a second and fifth metatarsal fracture also associated with an os calcis (calcaneal enthesophyte). [18][19][20] In 1943, Childress described a stress fracture of the second cuneiform. 42 In 1980, Meurman provided a case report of a stress fracture of the third cuneiform in a military recruit.…”