scholarly journals Stress fractures of the base of the metatarsal bones in young trainee ballet dancers

2009 ◽  
Vol 34 (1) ◽  
pp. 51-55 ◽  
Author(s):  
Walter Albisetti ◽  
Dario Perugia ◽  
Omar De Bartolomeo ◽  
Lorenzo Tagliabue ◽  
Emanuela Camerucci ◽  
...  
Keyword(s):  
Stress Fractures ◽  
Ballet Dancers ◽  
Metatarsal Bones

Stress fractures of the lateral metatarsal bones in metatarsus adductus foot deformity: a previously unrecognized association

1999 ◽  
Vol 28 (12) ◽  
pp. 679-684 ◽  
Author(s):  
Daphne J. Theodorou ◽  
Stavroula J. Theodorou ◽  
Robert D. Boutin ◽  
Christine Chung ◽  
Evelyne Fliszar ◽  
...  
Keyword(s):  
Stress Fractures ◽  
Foot Deformity ◽  
Metatarsal Bones ◽  
Metatarsus Adductus

scholarly journals Atypical Stress-Avulsion Fracture of the Lisfranc Joint Complex

2014 ◽  
Vol 7 (2) ◽  
pp. 155-158 ◽  
Author(s):  
Barry J. O’Neill ◽  
Laura A. Sweeney ◽  
Paul J. Moroney ◽  
Kevin J. Mulhall
Keyword(s):  
Case Report ◽  
Antiphospholipid Syndrome ◽  
Avulsion Fracture ◽  
Stress Fractures ◽  
Therapeutic Level ◽  
Lisfranc Joint ◽  
Level Of Evidence ◽  
Ballet Dancers ◽  
Metatarsal Fractures ◽  
Unusual Injury

Antiphospholipid syndrome and systemic erythematosus have been associated with metatarsal stress fractures. Stress fractures of the Lisfranc joint complex are uncommon injuries but have been reported to occur most frequently in ballet dancers. We present a case of an avulsion fracture of the Lisfranc joint complex that occurred spontaneously. We have reviewed the association between systemic conditions and metatarsal fractures and proposed a series of hypothetical pathological events that may have contributed to this unusual injury. Level of Evidence: Therapeutic, Level IV: Case report

Prediction of Metatarsal Stress Fracture Location: Parametric Analysis of the Foot Using FEA

2011 ◽  
Author(s):  
Raymond G. Chen ◽  
Adam Edelhauser ◽  
Charles J. Gatt ◽  
Noshir A. Langrana
Keyword(s):  
Ultimate Strength ◽  
Stress Fracture ◽  
Military Personnel ◽  
Parametric Analysis ◽  
Stress Fractures ◽  
Sports Activity ◽  
Training Conditions ◽  
Metatarsal Bones ◽  
Bending Stresses ◽  
The Military

Metatarsal stress fractures occur in 1.0–2.6% of all NCAA athletes and 1.0–1.7% of all soldiers in the military (1). The metatarsal bones are susceptible to stress fractures due to repeated musculoskeletal loading from running, jumping and sudden movements during sports activity and extreme training conditions for military personnel. The loads create bending stresses on the metatarsals at sub-ultimate strength values that create microcracks on the bones, which may propagate into stress fractures (2) if proper precautions are not taken.

Stress Fractures at the Base of the Second Metatarsal in Ballet Dancers

1996 ◽  
Vol 17 (2) ◽  
pp. 89-94 ◽  
Author(s):  
Martin J. O'Malley ◽  
William G. Hamilton ◽  
John Munyak ◽  
Michael J. DeFranco
Keyword(s):  
Risk Factors ◽  
Stress Fracture ◽  
Symptomatic Treatment ◽  
Senior Author ◽  
Stress Fractures ◽  
Ballet Dancers ◽  
Persistent Symptoms ◽  
Common Location ◽  
Second Metatarsal ◽  
Delayed Menarche

Stress fractures are a frequent injury in ballet companies and the most common location is at the base of the second metatarsal. While previous reports have focused on risk factors for this injury (overtraining, delayed menarche, poor nutrition), there is no published series describing the natural history and outcome following this fracture. We reviewed the office records of the senior author and identified 51 professional dancers (64 fractures) who sustained a stress fracture at the base of the second metatarsal. History of a previous stress fracture in the lower extremity was seen in 19 patients and delayed menarche in the women was common. The clinical presentation was insidious onset of midfoot pain an average of 2.5 weeks prior to seeking medical care. The initial radiographs of the foot were positive in 19 patients, questionable in 3 patients, and negative in 42 patients. The usual location of the fracture was at the proximal metaphyseal-diaphyseal junction (three fractures extended into the tarsometatarsal joint). Treatment consisted of a short leg walking cast for 6 patients, and a wooden shoe and symptomatic treatment for the remainder. At follow-up, 14% of patients still had occasional pain or stiffness in the midfoot with dancing. The patients returned to performance at an average of 6.2 weeks following diagnosis. No patients required bone grafting for persistent symptoms. There were eight refractures (at the same site) occurring an average of 4.3 years, all of which healed with conservative care. Stress fractures at the base of the second metatarsal are common in ballet dancers and can usually be treated with symptomatically. The results of this study are discussed in terms of risk factors, the use of a posterior-anterior view of the foot to eliminate overlap at Lisfranc's joint, and our present treatment regimen.

Stress fractures in ballet dancers

1992 ◽  
Vol 20 (4) ◽  
pp. 445-449 ◽  
Author(s):  
Nancy J. Kadel ◽  
Carol C. Teitz ◽  
Richard A. Kronmal
Keyword(s):  
Stress Fractures ◽  
Ballet Dancers

Nutrition and the incidence of stress fractures in ballet dancers

1990 ◽  
Vol 51 (5) ◽  
pp. 779-783 ◽  
Author(s):  
N T Frusztajer ◽  
S Dhuper ◽  
M P Warren ◽  
J Brooks-Gunn ◽  
R P Fox
Keyword(s):  
Stress Fractures ◽  
Ballet Dancers

Significant Forefoot Varus Deformity Resulting in Progressive Stress Fractures of All Lesser Metatarsal Bones

2007 ◽  
Vol 46 (5) ◽  
pp. 394-397 ◽  
Author(s):  
Cornelis H. van der Vlies ◽  
Kees J. Ponsen ◽  
Philip P. Besselaar ◽  
J. Carel Goslings
Keyword(s):  
Varus Deformity ◽  
Stress Fractures ◽  
Metatarsal Bones ◽  
Forefoot Varus

scholarly journals FUNCTIONAL MULTISPIRAL COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF “STRESS” FRACTURES OF THE METATARSAL BONES IN PATIENTS WITH VALGUS DEFORMITY: 2 CASE REPORTS

2018 ◽  
pp. 77-84
Author(s):  
A. S. Belyaev ◽  
N. S. Serova ◽  
D. S. Bobrov
Keyword(s):  
Computed Tomography ◽  
Surgical Intervention ◽  
Case Reports ◽  
Valgus Deformity ◽  
Stress Fractures ◽  
Optimal Method ◽  
Metatarsal Bones ◽  
Clinical Cases

“Stress” or “March” fractures is an important question for the traumatologists and radiologists. An important factor in this topic is the timely and qualitative diagnosis of this type of fractures. The choice of the optimal method of diagnosis, reliable visualization of bone-destructive changes significantly affect the tactics of further treatment and the amount of possible surgical intervention. In this article, the authors presents two clinical cases of diagnosis of “marching” fractures. 

Stress Fractures of the Ankle and Forefoot in Patients with Inflammatory Arthritides

2002 ◽  
Vol 23 (9) ◽  
pp. 833-837 ◽  
Author(s):  
Heikki Mäenpää ◽  
Matti U.K. Lehto ◽  
Eero A. Belt
Keyword(s):  
Reconstructive Surgery ◽  
Valgus Deformity ◽  
Stress Fractures ◽  
Predisposing Factors ◽  
Varus Alignment ◽  
Metatarsal Bones ◽  
Metatarsal Fractures ◽  
Patients Experience ◽  
Calcaneus Fractures ◽  
Valgus Alignment

Twenty-four stress fractures occurring in the metatarsal bones and ankle region were examined in 17 patients with inflammatory arthritides. There were 16 metatarsal, four distal fibular, two distal tibial, and two calcaneus fractures. Radiographic analyses were performed to determine the presence of possible predisposing factors for stress fractures. Metatarsal and ankle region stress fractures were analyzed separately. Stress fractures occurred most frequently in the second and third metatarsals. In metatarsal fractures, there was a trend for varus alignment of the ankle to cause fractures of the lateral metatarsal bones and valgus alignment of the medial metatarsal bones. Valgus deformity of the ankle was present in patients with distal fibular fractures in the ankle region group. Calcaneus fractures showed neutral ankle alignment. Malalignment of the ankle and hindfoot is often present in distal tibial, fibular, and metatarsal stress fractures. Additionally, patients tend to have long disease histories with diverse medication, reconstructive surgery and osteoporosis. If such patients experience sudden pain, tenderness, or swelling in the ankle region, stress fractures should be suspected and necessary examinations performed.

Finite Element Analysis on the Stress and Fracture in the Second Metatarsal

2006 ◽  
Vol 312 ◽  
pp. 275-280
Author(s):  
B. Wang ◽  
Guo Xing Lu
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Compressive Stress ◽  
Stress Level ◽  
Stress Fractures ◽  
Direct Impact ◽  
Element Analysis ◽  
High Heel ◽  
Metatarsal Bones ◽  
Second Metatarsal

Footwear has direct impact on the stress level in the metatarsal bones of human feet. In particular, stress fractures at the neck of the second metatarsal are the most common injuries. A finite element analysis was carried out to study the load and stress level in the second metatarsal of a 50-kg female wearing flat and high-heel shoes. It found that the bending of metatarsal due to the flat-footed posture increases the chance of fracture, and the stiletto (high-heeled) posture leads to large compressive stress.

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