title: [Fractures of the forefoot].
abstract: Fractures of the forefoot are common and comprise approximately two thirds of all foot fractures. Forefoot fractures are caused by direct impact or the effect of indirect force. The forces exerted can range from repetitive minor load (stress fractures) to massive destructive forces (complex trauma). The clinical course in forefoot fractures is typically more favourable than in fractures of the mid- and hindfoot. The incidence of complications like infection or pseudarthrosis is low. Exceptions are rare fractures of the proximal shaft of the fifth metatarsal and the sesamoids with higher pseudarthrosis rates. Malunited metatarsal fractures can cause painful conditions that should even be treated operatively. Differences in structure and function of the different forefoot areas and specific fracture types require an adapted management of these special injuries.
authors: Klinik für Unfallchirurgie, Orthopädie und Fußchirurgie Coburg und Hildburghausen, Standort Klinikum Coburg, Ketschendorfer Straße 33, 96450, Coburg, Deutschland. martinus.richter@klinikum-coburg.de
authors: M
authors: M
authors: Richter
references: Ann Surg. 1902 Jun;35(6):697-700.2
references: 17861128
references: Radiology. 1983 Feb;146(2):339-46
references: 6217486
references: Foot Ankle Int. 2003 Feb;24(2):137-41
references: 12627621
references: Instr Course Lect. 1990;39:133-40
references: 2186093
references: Foot Ankle Int. 2003 Feb;24(2):180-7
references: 12627629
references: J Orthop Res. 2002 Mar;20(2):222-32
references: 11918301
references: J Bone Joint Surg Am. 1993 Feb;75(2):290-8
references: 8093699
references: J Orthop Trauma. 2001 May;15(4):287-93
references: 11371795
references: Unfallchirurg. 2008 Oct;111(10):829-39; quiz 840
references: 18820889
references: Arch Orthop Trauma Surg. 2011 Feb;131(2):241-5
references: 20714904
references: Am J Sports Med. 1983 Sep-Oct;11(5):349-53
references: 6638251
references: Foot Ankle Int. 2001 May;22(5):392-8
references: 11428757
references: Foot Ankle. 1989 Feb;9(4):207-9
references: 2731831
references: Am J Sports Med. 1989 Sep-Oct;17(5):669-74
references: 2610283
references: Clin Orthop Relat Res. 1977 Jan-Feb;(122):18-27
references: 13951
references: Orthop Clin North Am. 2001 Jan;32(1):1-10
references: 11465121
references: Injury. 2010 Jun;41(6):555-62
references: 19570536