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Fracture, Metatarsal, Sports Medicine

Adam T. Chrusch, MD, CAQSM Reviewed 04/2019


The anatomy of the foot is divided into the hindfoot, the midfoot, and the forefoot: 
  • The hindfoot includes the calcaneus and talus.

  • The midfoot includes the navicular, cuboid, and cuneiform bone...


  • Diagnosis of overt metatarsal fracture is by radiograph.

  • Standard views include the anteroposterior (AP), lateral, and oblique views.

  • Addition of weight-bearing views may help identify subtle ...


The goal of treatment is to stabilize the fracture such that normal length, rotation, and declination of the metatarsal is maintained, and the area is protected from further injury until hea...


  • Upon discharge from the ED or after initial diagnosis, a patient with a metatarsal fracture should be seen in the office for follow-up radiographs in 1 wk to document correct bony alignme...


Kane JM, Sandrowski K, Saffel H, et al. The epidemiology of fifth metatarsal fracture. Foot Ankle Spec.  2015;8(5):354–359.
Thorud JC, Mortensen S, Thorud JL, et al. Effect of obesity...


  • The 1st metatarsal carries a large amount of load, and fractures of it are often surgical.

  • Fracture-dislocations involving the Lisfranc joint are often missed on NWB films.

  • Dancer’s frac...

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