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Updated: Aug 6, 2026

Pseudofracture: An Acute Peripheral Tissue Trauma Model
Published on: April 18, 2011
Fractures of the forefoot
Vincent J Mandracchia1, Denise M Mandi, Patris A Toney
1Division of Podiatric Surgery, Department of Surgery, Broadlawns Medical Center, 1801 Hickman Road, Des Moines, IA 50314, USA. vmandracchia@broadlawns.org
Forefoot fractures are common but can be debilitating if missed. Prompt diagnosis with radiographs is crucial for proper treatment of metatarsal, digital, and sesamoid fractures.
Area of Science:
- Orthopedic Surgery
- Radiology
- Sports Medicine
Background:
- Forefoot fractures are frequent injuries with diverse etiologies.
- Undiagnosed or improperly managed forefoot fractures can lead to significant disability.
- Foot pain during ambulation necessitates radiographic assessment for bony abnormalities.
Purpose of the Study:
- To review the classification and management strategies for forefoot fractures.
- To highlight the importance of timely diagnosis in preventing debilitating outcomes.
Main Methods:
- Review of current literature on forefoot fracture classification and treatment.
- Discussion of diagnostic imaging protocols, including standard radiographs.
- Analysis of treatment approaches for specific forefoot fracture types.
Main Results:
- Forefoot fractures encompass metatarsal, digital, and sesamoid injuries.
- Radiographs are essential for identifying bony pathology causing foot pain and ambulation difficulties.
- Appropriate classification guides effective treatment to prevent long-term morbidity.
Conclusions:
- Early and accurate diagnosis of forefoot fractures is critical.
- Standard radiographic evaluation should be routine for patients with foot pain and ambulation issues.
- Comprehensive understanding of fracture classification ensures optimal patient outcomes.
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