Operative Fixation of Metatarsal Stress Fractures in Patients With Metatarsus Adductus

David Warren Lemos; Justin Greisberg; Arthur Manoli

doi:10.1097/bto.0b013e31825d7118

Operative Fixation of Metatarsal Stress Fractures in Patients With Metatarsus Adductus

Techniques in Orthopaedics ◽

10.1097/bto.0b013e31825d7118 ◽

2012 ◽

Vol 27 (2) ◽

pp. 135-142 ◽

Cited By ~ 1

Author(s):

David Warren Lemos ◽

Justin Greisberg ◽

Arthur Manoli

Keyword(s):

Stress Fractures ◽

Metatarsus Adductus ◽

Operative Fixation

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

Skeletal Radiology ◽

10.1007/s002560050573 ◽

1999 ◽

Vol 28 (12) ◽

pp. 679-684 ◽

Cited By ~ 35

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

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Bilateral Proximal Tibia Stress Fractures through Persistent Physes

Case Reports in Orthopedics ◽

10.1155/2018/8181547 ◽

2018 ◽

Vol 2018 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

John J. Carroll ◽

Sean P. Kelly ◽

James N. Foster ◽

Derek A. Mathis ◽

Joseph F. Alderete

Keyword(s):

Tibial Plateau ◽

Proximal Tibia ◽

Hyaline Cartilage ◽

Articular Surface ◽

Case Reports ◽

Stress Fractures ◽

Laboratory Evaluation ◽

Distal Fibula ◽

Operative Fixation ◽

Repetitive Trauma

Introduction. Fatigue fractures are stress fractures resulting from repetitive trauma in areas of stress concentration. Prior case reports and studies have described stress fractures through persistent physes about the olecranon and distal fibula, as evidenced by hyaline cartilage on histologic analysis. However, there have been no documented proximal tibia stress fractures through persistent physes. Case Presentation. A 29-year-old military male basic trainee with varus alignment about his knees suffered bilateral medial tibial plateau stress fractures several weeks into military basic training. He underwent radiographic and laboratory evaluation of his stress fractures and eventual operative fixation of his bilateral tibial plateau fractures. Intraoperative specimens obtained from the fracture sites distal to the articular surface demonstrated abnormal fibrous appearing tissue. Histology demonstrated the presence of hyaline cartilage. Discussion. A 29-year-old military male basic trainee had bilateral proximal tibia stress fractures through persistent physes confirmed with biopsies demonstrating hyaline cartilage. Our belief is that the patient’s persistent physes placed him at a greater risk for stress fractures and these may benefit from fixation in soldiers and athletes.

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Rare Proximal Diaphyseal Stress Fractures of the Fifth Metatarsal Associated With Metatarsus Adductus

The Journal of Foot & Ankle Surgery ◽

10.1053/j.jfas.2016.03.005 ◽

2016 ◽

Vol 55 (4) ◽

pp. 788-793 ◽

Cited By ~ 5

Author(s):

Kyle E. Wamelink ◽

John T. Marcoux ◽

Scott M. Walrath

Keyword(s):

Stress Fractures ◽

Metatarsus Adductus

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Intertrochanteric hip stress fracture in a male ultramarathon runner

BMJ Case Reports ◽

10.1136/bcr-2020-239594 ◽

2022 ◽

Vol 15 (1) ◽

pp. e239594

Author(s):

Jeffrey P Nadwodny ◽

George Pujalte ◽

Tais Garcia de Oliveira Bertasi ◽

Tamara Huff

Keyword(s):

Femoral Neck ◽

Stress Fracture ◽

High Performance ◽

Elderly Population ◽

Young Male ◽

The Elderly ◽

High Energy ◽

Stress Fractures ◽

Intertrochanteric Fractures ◽

Operative Fixation

Stress fractures are injuries frequently seen in high-performance athletes, especially runners. In the femur, the most commonly affected locations are the femoral neck, condylar area and proximal shaft. Intertrochanteric fractures are much more common in the elderly population, especially among those with osteoporosis, but they can also be a result of high-energy repetitive mechanisms. We present a case of an intertrochanteric stress fracture in a young male runner. The diagnosis was suspected after persistent pain following his first marathon, and it was confirmed with an MRI. Operative fixation of the fracture was performed 22 days after the pain started, which allowed the patient to return to his activities, including 50 km marathon 4 months following the surgery.

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Nonoperative Treatment of Stress Fractures of the Proximal Shaft of the Fifth Metatarsal (Jones' Fracture)

Foot & Ankle ◽

10.1177/107110078600700303 ◽

1986 ◽

Vol 7 (3) ◽

pp. 152-155 ◽

Cited By ~ 31

Author(s):

James H. Acker ◽

David Drez

Keyword(s):

Case Reports ◽

Athletic Participation ◽

Delayed Union ◽

Nonoperative Treatment ◽

Stress Fractures ◽

High Potential ◽

Jones Fracture ◽

Operative Fixation

Early operative fixation of stress fractures of the proximal diaphysis of the fifth metatarsal has been advocated because of the high potential for delayed union, nonunion, and refracture. Case reports are given of three athletes with stress fractures of the proximal shaft of the fifth metatarsal who were treated nonoperatively and who returned to early athletic participation without recurrent symptoms or refracture. Treatment of this injury should be individualized because of the potential for nonunion and the ability of this fracture to heal.

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