Stress fractures of the second metatarsal base occur in nondancers.

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Chuckpaiwong, B; Cook, C; Nunley, JA

Published Date

  • August 2007

Published In

Volume / Issue

  • 461 /

Start / End Page

  • 197 - 202

PubMed ID

  • 17415010

Pubmed Central ID

  • 17415010

International Standard Serial Number (ISSN)

  • 0009-921X

Digital Object Identifier (DOI)

  • 10.1097/BLO.0b013e3180598ff2

Language

  • eng

Conference Location

  • United States