Stress fractures in the foot

Viladot, A

doi:10.1046/j.1460-9584.1998.00073.x

Cited by 11 publications

(12 citation statements)

References 13 publications

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“…[2][3][4][5][6][7][8][14][15][16][17][18][19][20][21][22][23][24] Excision of the metatarsal head is not recommended because of the risk of shortening of the toe, a break in the alignment of the metatarsal arch and transfer metatarsalgia, instability of the MTP joint and deformity of the toes, hallux valgus, and gait disturbance. 22,25 Joint replacement arthroplasty has been used in the advanced stages of the disease. 17 In patients with high levels of physical activity, such as active adolescents, silicone or hemiarthroplasty implants can result in several problems, including inappropriate fit, poor material strength, implant loosening, local bony resorption, a lack of toe purchase, infection, hardware irritation, and transfer metatarsalgia.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Interpositional Arthroplasty of the Second Metatarsophalangeal Joint

Lui¹

2016

Arthroscopy Techniques

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Painful degenerative diseases of the second metatarsophalangeal joint are frequently progressive and difficult to treat. Surgical options for the degenerated second metatarsophalangeal joint include joint debridement and synovectomy, drilling and microfracture, core decompression, dorsal closing-wedge metatarsal osteotomies, joint arthroplasty (implant or interpositional), elevation of the depressed articular fragment and bone graft, distraction arthroplasty, osteochondral plug transplantation, osteochondral distal metatarsal allograft reconstruction, and resection arthroplasty (phalangeal base or metatarsal head). This technical note describes the arthroscopic approach of interpositional arthroplasty of the second metatarsophalangeal joint using the extensor digitorum brevis tendon. It is indicated in adult patients with extensive involvement of the metatarsal head cartilage, especially when cartilage degeneration of the proximal phalanx is also present. It is contraindicated if there is significant bone loss of the metatarsal head or the extensor digitorum brevis tendon is flimsy.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic Interpositional Arthroplasty of the Second Metatarsophalangeal Joint

Lui¹

2016

Arthroscopy Techniques

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“…This type of fractures is commonly incomplete, the healing process usually leaves no trace of the fracture and there is a perfect bone alignment (Ortner, ; Bennike, ; Hosalkar et al ., ; Waldron, ). Thus, its diagnosis usually relies on the identification of other signs related to the micro‐fractures such as inflammation, bone turnover and callus formation (Anderson, ; Viladot & Viladot, ; Ortner, ).…”

Section: Description Of the Lesionsmentioning

confidence: 99%

“…A stress fracture of the metatarsal would correspond to a type of indirect fracture according to Hawkins (), and it would be the consequence of repetitive forces (Anderson, ; Arangio et al ., ; Viladot & Viladot, ; Donahue & Sharkey, ; Arndt et al ., ; Hawkins, ; Burgener, ; Nagel et al ., ). The application of stress, namely repetitive forces and load, would cause microcraks on the bone surface.…”

Section: Diagnosis: Stress Fracturementioning

confidence: 99%

Evidence of Stress Fracture in a Homo antecessor Metatarsal from Gran Dolina Site (Atapuerca, Spain)

Martín‐Francés

Martinón‐Torres

Gracia-Téllez

et al. 2013

Intl J of Osteoarchaeology

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We present the palaeopathological analysis of a right fourth metatarsal (ATD6-124) recovered from the Atapuerca-Gran Dolina site (Spain). This fossil, ca. 1 Ma, belongs to Homo antecessor, the earliest known European hominin species. The metatarsal exhibits a proliferative lesion on its medial periosteal surface. Periosteal reaction can be the bone response to a wide number of injurious processes. We describe a lesion on the basis of macroscopic and microscopic analyses, including microtomography and scanning electron microscopy. Externally, the osteoblastic lesion presents a highly porotic and disorganised morphology. Internally, we observe a series of micro-fractures on the compact bone that do not affect the medullary canal. We provide a differential diagnosis and suggest that the ATD6-124 lesion could correspond to a pedal stress fracture, also known as fatigue or march fracture. Stress fractures have been related to a load increase and muscular fatigue. This type of fracture has been widely reported in the foot of soldiers and athletes, which are usually engaged in strenuous, excessive or prolonged locomotive activities. Despite its high frequency in these groups, stress fractures have not been reported as such in fossil collections, with the exception of a metatarsal belonging to the Sima de los Huesos site (Atapuerca).

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“…Die Knöchelfrakturen der diabetischen wie nichtdiabetischen Patienten sind in der Mehrzahl der Fälle standardgemäû operativ versorgt worden. Bei den Fuûfrakturen der diabetischen Patienten handelte es sich um Frakturen der lasttragenden Knochen, meist unter Einbeziehung der angrenzenden Gelenke [13,43,51]. Die Frakturen wurden nach Sanders und Frykberg [43] gemäû ihrer Lokalisation eingeteilt: Sanders Typ I (Metatarsalknochen, Zehengrundgelenke); Sanders Typ II (Knochen und Gelenke der Lisfranc-Linie); Sanders Typ III (Knochen und Gelenke der Chopart-Linie); Sanders Typ IV (oberes Sprunggelenk); Sanders Typ V (Kalkaneus).…”

Section: Literaturrechercheunclassified

Heilungsdauer von Fuß- und Knöchelfrakturen bei Diabetikern: Literaturübersicht und Darstellung eigener Fälle

Boddenberg¹

2004

Zentralbl Chir

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Stress fractures in the foot

Cited by 11 publications

References 13 publications

Arthroscopic Interpositional Arthroplasty of the Second Metatarsophalangeal Joint

Arthroscopic Interpositional Arthroplasty of the Second Metatarsophalangeal Joint

Evidence of Stress Fracture in a Homo antecessor Metatarsal from Gran Dolina Site (Atapuerca, Spain)

Heilungsdauer von Fuß- und Knöchelfrakturen bei Diabetikern: Literaturübersicht und Darstellung eigener Fälle

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