PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of jathtrainLink to Publisher's site
 
J Athl Train. 1995 March; 30(1): 72–74.
PMCID: PMC1317833

Recurrent Metatarsal Stress Fractures in a College Football Lineman

Jamie L. Moul, EdD, ATC
Jamie L. Moul is Athletic Training Curriculum Director at Appalachian State University, Boone, NC 28606.

Abstract

Stress fractures are common overuse injuries of bone attributed to repetitive trauma, training errors, and/or structural abnormalities. A 21-year-old, 252-lb football lineman participating in spring conditioning drills complained of right foot pain following a plantar flexion, inversion injury that occurred while cutting. Pain was concentrated over the dorsum of the foot in both weight bearing and at rest. X-ray evaluation indicated an acute stress fracture of the fourth metatarsal and two nonunions of the second and third metatarsals. Additionally, x-rays revealed metatarsus adductus, a congenital anatomic deformity. The athlete demonstrated compensatory hyperpronation in the right hind foot during a follow-up biomechanical evaluation. He was removed from weightbearing activities, treated symptomatically for pain and swelling, and placed in a rigid orthotic. He has returned to full activity without further incident. This case report emphasizes the important role that biomechanical factors may have in osseous stress injuries.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (777K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.
 
 

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Byrd T. Jones fracture: relearning an old injury. South Med J. 1992 Jul;85(7):748–750. [PubMed]
  • DeLee JC, Evans JP, Julian J. Stress fracture of the fifth metatarsal. Am J Sports Med. 1983 Sep-Oct;11(5):349–353. [PubMed]
  • Gross TS, Bunch RP. A mechanical model of metatarsal stress fracture during distance running. Am J Sports Med. 1989 Sep-Oct;17(5):669–674. [PubMed]
  • Kavanaugh JH, Brower TD, Mann RV. The Jones fracture revisited. J Bone Joint Surg Am. 1978 Sep;60(6):776–782. [PubMed]
  • Marcinko DE, Hetico HR. Structural metatarsus adductus deformity, surgical case report. J Foot Surg. 1992 Nov-Dec;31(6):607–610. [PubMed]
  • Orava S, Hulkko A. Delayed unions and nonunions of stress fractures in athletes. Am J Sports Med. 1988 Jul-Aug;16(4):378–382. [PubMed]
  • Sullivan D, Warren RF, Pavlov H, Kelman G. Stress fractures in 51 runners. Clin Orthop Relat Res. 1984 Jul-Aug;(187):188–192. [PubMed]
  • Torg JS, Pavlov H, Torg E. Overuse injuries in sport: the foot. Clin Sports Med. 1987 Apr;6(2):291–320. [PubMed]

Articles from Journal of Athletic Training are provided here courtesy of National Athletic Trainers Association