Defined as “spontaneous fracture of normal bone which results from the summation of stresses, any of which by themselves would be harmless,” 7 most clinicians involved in the care of the foot and ankle will frequently treat these injuries. First metatarsal stress fractures are rare secondary to the overall size of the bone. Except with major trauma gross deformities are rarely seen. The first metatarsal is the least commonly fractured metatarsal. Stress fractures were first described in Prussian soldiers by Breithaupt in 1855.
Several anatomic mechanisms are proposed to explain this phenomenon.

A fracture of the first metatarsal bone can lead to later arthritis of the big toe joint. Whenever there is a stress fracture in the foot, there will be pain and swelling in the foot near the fracture. There are no interconnecting ligaments between the 1st and 2nd metatarsals, allowing for independent motion. 1-3 Kitaoka and colleagues theorized this was due to overloading of the lesser metatarsals as a result of some shortening or the reestablishment of motion to the hallux.

Although first metatarsal stress fracture is rare, it should be included in the differential diagnosis when the patient complains of pain in the area of the first metatarsal bone after the forefoot trauma of repetitive use. Peroneous longus attaches on the proximal lateral base, functioning in plantar flexion of the first metatarsal and pronation of the forefoot. Typically stress fractures in the bones of the lower leg are the most common, but stress fractures of the first and fourth metatarsal stress fractures are not that uncommon.

Metatarsal stress fractures often appear initially as simply pain over the top of the foot, sometimes – but not always – with swelling. This is the area of greatest impact on your foot as you push off when you walk or run.

It is usually worse after activity or during activities that require bending of the foot. Treatment of a metatarsal fracture depends heavily on which bone is fractured. Displaced, comminuted and compound metatarsal fracture heals with deformity resulting in long standing pain and difficulties in … When a tuning fork is placed on the fracture …

Injuries to the metatarsal bones are very common and can happen in a number of ways, but most commonly occur when a heavy object falls on them or when they are twisted during a fall. A metatarsal stress fracture is not the most common stress fracture you can get. widest and shortest; bears 30-50% of weight during gait; second metatarsal is longest most common location of stress fracture; Muscles muscular balance between extrinsic and intrinsic muscles; extrinsics include …

Overuse of legs and feet for walking, jumping and running overwhelm its natural capacity of bones for self-repair causing small cracks to develop. widest and shortest; bears 30-50% of weight during gait; second metatarsal is longest most common location of stress fracture; Muscles muscular balance between extrinsic and intrinsic muscles; extrinsics include … Metatarsal Stress Fracture Symptoms. A disproportionate number of stress fractures occur in the second metatarsal shaft, especially at the neck. They are most common in the second and third metatarsal bones. Metatarsal stress fractures are commonly encountered. Patients with an acute metatarsal fracture present with pain, swelling, ecchymosis, and tenderness to palpation in the forefoot - along with difficulty bearing weight.

Injuries to the 1st metatarsal are usually due to direct trauma and are often open or comminuted. Different Types of Metatarsal Fracture. Metatarsal stress fractures - aftercare The metatarsal bones are the long bones in your foot that connect your ankle to your toes. There are two types of metatarsal fractures: acute and stress fractures.
A stress fracture is a break in the bone that happens with repeated injury or stress.


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