title: Significant forefoot varus deformity resulting in progressive stress fractures of all lesser metatarsal bones.
abstract: Stress fractures may occur in any bone, but appear most frequently in the metatarsal bones. Consecutive stress fractures of all lesser metatarsals in a short period are rare, and only a few cases have been described in the literature. We report an unusual case of a young man with consecutive stress fractures of four adjacent lesser metatarsal bones. The etiology was in all probability the fixed forefoot varus deformity. This foot deformity may impose increased mechanical loads across the lateral aspect of the foot that, in turn, may result in stress fractures involving the lesser metatarsals. In our patient conservative treatment finally resulted in a satisfactory outcome.
authors.affiliation: Department of Surgery, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands. C.H.vandervlies@amc.uva.nl
authors.forename: Cornelis H
authors.initials: CH
authors.lastname: van der Vlies
authors.forename: Kees J
authors.initials: KJ
authors.lastname: Ponsen
authors.forename: Philip P
authors.initials: PP
authors.lastname: Besselaar
authors.forename: J Carel
authors.initials: JC
authors.lastname: Goslings
mesh_terms: D000328:Adult; D005530:Foot Deformities / Q000150:complications*; D015775:Fractures, Stress / Q000209:etiology*; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000293:injuries*