An Unusual Presentation Of Foot Pain In A Soccer Player

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now closed for the 2025 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2025 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You

Communications
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports Ultrasound Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

An Unusual Presentation Of Foot Pain In A Soccer Player - Page #4

Working Diagnosis: Diaphyseal stress fracture and subacute metaphyseal fractures bilaterally Treatment: He was kept in the walking boot during the day but allowed to practice and play as long as his pain did not progress. No plans for surgical correction of the non-union fractures. Outcome: At the end of the season he was pain free and he stopped using the walking boot. Author's Comments: Management of rare cases of combined diaphyseal stress fractures and Jones fractures, as in our case, provides a great challenge to the treating physician. Controversies in diagnosing and classifying fractures of the proximal 5th metatarsal are common: -Anatomic: Tuberosity vs Jones vs Diaphyseal stress fractures -Radiographic appearance: Acute vs Delayed vs Nonunion fractures There has been tremendous debate in the literature regarding whether to treat proximal fifth metatarsal fractures conservatively or surgically: -Primary or delayed -Whether the athlete should be treated more aggressively initially than the more sedentary person sustaining the same fracture. If a surgical route was chosen, the controversy of whether the treatment should be: -Closed or open -Bone grafted or fixed with an intramedullary screw. In our case, the transverse orientation of the bony defect at the 5th metatarsal based on his MRI is more in keeping with a subacute Jones fracture with incomplete osseous bridging. Editor's Comments: This case highlights the difficulties with diagnosing, classifying and treating 5th metatarsal fractures, the multiple imaging modalities that can help with diagnosis, and some of the controversies surrounding treatment options. Roehrig, GJ, McFarland EG, Cosagea AJ et. al. Unusual Stress Fracture of the Fifth Metatarsal in a Basketball Player. Clin J Sport Med 2001;11(4):271-273. References: www.louortho.com/documents/quill_controv.pdf www.podiatryinstitute.com/pdfs/Update_2006/2006_28.pdf www.orthobullets.com/foot-and-ankle/7031/5th-metatarsal-base-fracture www.podiatrytoday.com/current-concepts-in-treating-fifth-metatarsal-fractures Return To The Case Studies List.		Back
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back	Top

UPCOMING EVENTS

FIND A SPORTS DOC