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Metatarsal Stress Fractures.

Denise R Ramponi1, Viki Hedderick, Susan C Maloney

  • 1School of Nursing and Health Sciences, Robert Morris University, Moon Township, Pennsylvania (Dr Ramponi); and Department of Nursing, Edinboro University, Edinboro, Pennsylvania (Drs Hedderick and Maloney).

Advanced Emergency Nursing Journal
|August 1, 2017
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Summary
This summary is machine-generated.

Metatarsal stress fractures, also known as march fractures, commonly affect the second and third metatarsals due to overuse. Early diagnosis and conservative treatment like rest and avoiding weight-bearing are crucial for recovery.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Podiatry

Background:

  • Metatarsal stress fractures, or march fractures, are common overuse injuries.
  • They typically affect the distal second and third metatarsals due to biomechanical stress during ambulation.
  • Factors diminishing bone density increase susceptibility to these fractures.

Purpose of the Study:

  • To summarize the common causes, presentation, and initial management of metatarsal stress fractures.
  • To highlight the diagnostic challenges and importance of early intervention.

Main Methods:

  • Review of common clinical presentations and risk factors for metatarsal stress fractures.
  • Discussion of diagnostic imaging delays and initial treatment protocols.
  • Emphasis on conservative management strategies and orthopedic referral.

Main Results:

  • The second and third metatarsals are most affected due to repetitive stress during walking and marching.
  • Radiographic evidence of fractures may be delayed for weeks after symptom onset.
  • Initial treatment focuses on rest, ice, and non-weight bearing to prevent complications.

Conclusions:

  • Metatarsal stress fractures are primarily caused by overuse and are often diagnosed late.
  • Conservative management including rest and activity modification is the cornerstone of initial treatment.
  • Prompt orthopedic evaluation is essential for guiding definitive care and preventing long-term issues.