Objective: To document a distinctive pattern of stress fractures in the lateral metatarsal bones of patients with metatarsus adductus foot deformity.
Design And Patients: Conventional radiographs and available medical records were reviewed in 11 patients (6 women, 5 men; ages 25-61 years) with stress fractures of the lateral (fourth or fifth) metatarsal bones and metatarsus adductus. Evaluation included the number and location of fracture(s), forefoot adduction angle, and qualitative assessment of bone mineral density. Conditions that might predispose patients to metatarsal fractures, including direct trauma, osteoporosis, and neuropathic osteoarthropathy were also recorded.
Results: A total of 22 stress fractures were demonstrated, 17 of which involved the lateral metatarsals. A solitary fracture was present in six patients, while multiple fractures were evident in five patients. The sites of involvement were the fifth metatarsal (n=10), fourth metatarsal (n=7), third metatarsal (n=3), second metatarsal (n=1), and first metatarsal (n=1) bones. The locations of the stress fractures were in the proximal one-third of the metatarsal bones in 19 instances (86%) and in the middle one-third in three instances (14%). Forefoot adduction angle measured between 21 degrees and 37 degrees (normal range 8 degrees -14 degrees).
Conclusion: Patients with metatarsus adductus may be at increased risk for stress fractures involving the lateral metatarsal bones, likely owing to the presence of altered biomechanics that place greater loads across the lateral aspect of the foot.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1007/s002560050573 | DOI Listing |
Bioengineering (Basel)
January 2025
Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, 48149 Münster, Germany.
(1) Background: The incidence of fragility fractures of the pelvis (FFP) has increased significantly over the past decades. Unilateral non-displaced fractures, defined as FFP II, are the most common type of fracture. When conservative treatment fails, surgical treatment is indicated.
View Article and Find Full Text PDFJ Clin Orthop Trauma
March 2025
Department of Orthopaedics, Woodend Hospital, Aberdeen, AB15 6XS, UK.
Reverse shoulder arthroplasty (RSA) has witnessed a significant advancement with the introduction of lateralisation techniques, aiming to enhance shoulder function and implant durability. Traditional medialised designs, following Grammont's principles, have encountered challenges such as scapular notching, reduced rotational strength, and instability. In contrast, lateralisation methods, which reposition the joint center of rotation laterally on the glenoid, humerus, or both, seek to improve deltoid leverage, optimize the rotator cuff muscles' length-tension relationship, and enhance joint stability.
View Article and Find Full Text PDFDokl Biochem Biophys
January 2025
Department of Orthopaedics, Affiliated Hospital of Hebei University, 071000, Baoding, China.
Unlabelled: Osteoporosis is a condition where bones weaken due to a loss in density and quality, making them fragile and more susceptible to fractures, even from minor stress or injury. In this experimental study, we scrutinized the antiosteoporosis effect of phyllanthin against glycocorticoid (GIOP) induced osteoporosis in rats.
Methods: : SD rats were used in this study and subcutaneous administration of DEX (3 mg/kg) was used for the induction of osteoporosis and rats were treated with phyllanthin and alendronate for 12 weeks.
Sci Rep
January 2025
School of petroleum engineering, Yangtze University, Wuhan, 430100, China.
Given the suboptimal physical properties and distinctive geological conditions of deep coalbed methane reservoirs, any reservoir damage that occurs becomes irreversible. Consequently, the protection of these deep coalbed methane reservoirs is of paramount importance. This study employs experimental techniques such as scanning electron microscopy, X-ray diffraction, and micro-CT imaging to conduct a comprehensive analysis of the pore structure, mineral composition, fluid characteristics, and wettability of coal seams 3# and 15# in the northern Qinshui Basin of China.
View Article and Find Full Text PDFZhongguo Gu Shang
January 2025
Ningbo Beilun People's Hospital, Ningbo 315800, Zhejiang, China.
Objective: To investigate the effects of bone density, plate bending degree and proximal screw type on the stress fracture of clavicle hook.
Methods: Three sows weighing between 45 and 50 kg were selected, from which a total of 40 rivs were collected. The 15 ribs of sows were divided into 3 groups according to bone density and bone hardness with 5 rivs in each group.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!