wk12- midfoot/forefoot pathology

Question 1

low risk stress fractures

Answer 1

calc
posterior tibia
fibula
lat mall
mets

Question 2

High risk stress fractures

Answer 2

anterior tib
femoral neck
med mall
talus
navicular
base of 5th met
sesamoids

delayed union, non healing due to poor blood supply

Question 3

managament of stress fracture

Answer 3

1. avoid NSAIDs - increse risk of bone stress injury

Question 4

navicular stress fracture risk factors

Answer 4

common in running, jumping and field athletes and males

previous stress fracture
short 1st met or long 2nd met
limited STJ ROM
pes cavus
reduced ankle dorsiflexion
diet
over training

Question 5

clinical features of navicular stress fracture

Answer 5

• diffuse pain in midfoot
  -pain raidates along medial aspect of MLA
  -pain with WB
  -may persist with rest/night
  -tenderness at n spot

Question 6

stress fractures imaging

Answer 6

MRI T2