Stress fractures of the second metatarsal base occur in nondancers.

Abstract:

:Stress fractures of the base of the second metatarsal are common in ballet dancers and essentially are unreported in nondancers. We presumed base of the second metatarsal stress fractures in nondancers occur in a wide variety of individuals regardless of demographics, are highly associated with athletic activities, and have specific examination findings and poor clinical outcomes. Using a retrospective chart review, we identified 12 stress fractures at the base of the second metatarsal (nine patients) in nondancers. Our review suggests second metatarsal base stress fractures occur in nondancers in a diverse population, and nonoperative treatment provides limited success. Advanced radiographic study, specifically MRI, is useful to assist the early diagnosis and prognostication. All of the stress fractures were treated nonoperatively; six fractures (50%) developed nonunion and five underwent subsequent surgery. The surgery for nonunion provided successful outcomes; however, risk factors such as low bone mass and comorbidities may have played important roles in the prognosis.

journal_name

Clin Orthop Relat Res

authors

Chuckpaiwong B,Cook C,Nunley JA

doi

10.1097/BLO.0b013e3180598ff2

subject

Has Abstract

pub_date

2007-08-01 00:00:00

pages

197-202

eissn

0009-921X

issn

1528-1132

journal_volume

461

pub_type

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