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Metatarsal Fracture
Julia R. Crim, MD
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Jones fx: Traumatic transverse fx of 5th metatarsal (MT) proximal shaft
            • March fracture: Stress fx of distal 2nd or 3rd MT due to fatigue, typically in military recruits
            • Stress fractures are due to repetitive injuries and divided into 2 types
              • Fatigue fx: Increased demand on normal bone
              • Insufficiency fx: Normal demand on weakened bone

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                Selected References

                                1. Gorbachova T: Midfoot and forefoot injuries. Top Magn Reson Imaging. 24(4):215-21, 2015
                                2. Carreira DS et al: Radiographic factors and effect of fifth metatarsal Jones and diaphyseal stress fractures on participation in the NFL. Foot Ankle Int. 34(4):518-22, 2013
                                3. Ekstrand J et al: Fifth metatarsal fractures among male professional footballers: a potential career-ending disease. Br J Sports Med. Epub ahead of print, 2013
                                4. Ding BC et al: Fractures of the proximal fifth metatarsal: keeping up with the Joneses. Bull NYU Hosp Jt Dis. 70(1):49-55, 2012
                                5. Gehrmann RM et al: Current concepts review: Stress fractures of the foot. Foot Ankle Int. 27(9):750-7, 2006
                                6. Ashman CJ et al: Forefoot pain involving the metatarsal region: differential diagnosis with MR imaging. Radiographics. 21(6):1425-40, 2001
                                7. Harrington T et al: Overuse ballet injury of the base of the second metatarsal. A diagnostic problem. Am J Sports Med. 21(4):591-8, 1993
                                8. Lawrence SJ et al: Jones' fractures and related fractures of the proximal fifth metatarsal. Foot Ankle. 14(6):358-65, 1993
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Imaging

                                  • Top Differential Diagnoses

                                    • Pathology

                                      • Clinical Issues

                                        TERMINOLOGY

                                        • Definitions

                                          • Jones fx: Traumatic transverse fx of 5th metatarsal (MT) proximal shaft
                                          • March fracture: Stress fx of distal 2nd or 3rd MT due to fatigue, typically in military recruits
                                          • Stress fractures are due to repetitive injuries and divided into 2 types
                                            • Fatigue fx: Increased demand on normal bone
                                            • Insufficiency fx: Normal demand on weakened bone

                                        IMAGING

                                        • General Features

                                          • Radiographic Findings

                                            • CT Findings

                                              • MR Findings

                                                • Imaging Recommendations

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • General Features

                                                      CLINICAL ISSUES

                                                      • Presentation

                                                        • Demographics

                                                          • Natural History & Prognosis

                                                            • Treatment

                                                              Selected References

                                                              1. Gorbachova T: Midfoot and forefoot injuries. Top Magn Reson Imaging. 24(4):215-21, 2015
                                                              2. Carreira DS et al: Radiographic factors and effect of fifth metatarsal Jones and diaphyseal stress fractures on participation in the NFL. Foot Ankle Int. 34(4):518-22, 2013
                                                              3. Ekstrand J et al: Fifth metatarsal fractures among male professional footballers: a potential career-ending disease. Br J Sports Med. Epub ahead of print, 2013
                                                              4. Ding BC et al: Fractures of the proximal fifth metatarsal: keeping up with the Joneses. Bull NYU Hosp Jt Dis. 70(1):49-55, 2012
                                                              5. Gehrmann RM et al: Current concepts review: Stress fractures of the foot. Foot Ankle Int. 27(9):750-7, 2006
                                                              6. Ashman CJ et al: Forefoot pain involving the metatarsal region: differential diagnosis with MR imaging. Radiographics. 21(6):1425-40, 2001
                                                              7. Harrington T et al: Overuse ballet injury of the base of the second metatarsal. A diagnostic problem. Am J Sports Med. 21(4):591-8, 1993
                                                              8. Lawrence SJ et al: Jones' fractures and related fractures of the proximal fifth metatarsal. Foot Ankle. 14(6):358-65, 1993