Overload, repetitive stress injury to bone
Manifest as fatigue fractures to otherwise normal bone
Stress fractures account for 10% of overuse injuries in sports 1. Stress f...
Pain onset acute or insidious? Usually insidious
Pain location? Site of fracture; forefoot for metatarsal stress fractures and dorsomedial midfoot for tarsal navicular stress fractures...
Cease sporting activities.
Non–weight-bearing only needed for pain control
Rest period, average 6 wk
Non–weight-bearing on crutches with below-the-knee cas...
Modify activity level and training activities to provide relative rest.
Address abnormal biomechanics.
Consider calcium and vitamin D supplementation.
Return to progressive ...
Cheung CN, Lui TH. Proximal fifth metatarsal fractures: anatomy, classification, treatment and complications. Arch Trauma Res. 2016;5(4):e33298.
Thompson P, Patel V, Fallat LM,...
Risk factors for stress fractures include overuse or training errors, biomechanical factors, choice and/or age of shoe, nutrition, and menstrual issues for women.
Careful attention to t...
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