title: Metatarsal fracture as a consequence of foot dystonia in Parkinson's disease.
abstract: We report a 45-year-old man with a 4-year history of Parkinson's disease complicated by the development of left-foot dystonia resulting in a fracture of the fifth metatarsal. Orthopedic injuries are common in Parkinson's disease, but they are usually secondary to falls. Although drug-induced dystonia is a common side effect of pharmacological treatment of Parkinson's disease, this is the first report of a fracture related to these abnormal movements.
authors.affiliation: Department of Neurology, University of Maryland School of Medicine, Baltimore, MD, USA. emcda001@umaryland.edu
authors.forename: Eric
authors.initials: E
authors.lastname: McDade
authors.forename: William J
authors.initials: WJ
authors.lastname: Weiner
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Shulman
mesh_terms: D004421:Dystonia / Q000209:etiology / Q000473:pathology; D005528:Foot / Q000473:pathology*; D050723:Fractures, Bone / Q000150:complications* / Q000209:etiology*; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000293:injuries*; D008875:Middle Aged; D010300:Parkinson Disease / Q000150:complications*