Stress Fractures of the Foot

Clin Sports Med. 2015 Oct;34(4):769-90. doi: 10.1016/j.csm.2015.06.011.

Abstract

Stress fractures of the foot and ankle may be more common among athletes than previously reported. A low threshold for investigation is warranted and further imaging may be appropriate if initial radiographs remain inconclusive. Most of these fractures can be treated conservatively with a period of non-weight-bearing mobilization followed by gradual return to activity. Early surgery augmented by bone graft may allow athletes to return to sports earlier. Risk of delayed union, nonunion, and recurrent fracture is high. Many of the patients may also have risk factors for injury that should be modified for a successful outcome.

Keywords: Biological therapy; Metatarsal; Navicular; Sports injury; Stress fracture.

Publication types

  • Review

MeSH terms

  • Athletic Injuries* / diagnosis
  • Athletic Injuries* / etiology
  • Athletic Injuries* / therapy
  • Biomechanical Phenomena
  • Foot Bones / anatomy & histology
  • Foot Bones / injuries*
  • Foot Bones / physiopathology
  • Fractures, Stress* / diagnosis
  • Fractures, Stress* / etiology
  • Fractures, Stress* / therapy
  • Humans
  • Risk Factors
  • Treatment Outcome