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Yamaguchi S, Taketomi S, Funakoshi Y, et al. Stress fracture of the second proximal phalanx of the foot in teenage athletes: Unrecognized location of stress fracture. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2017;10:12-16doi: 10.1016/j.asmart.2017.09.001.
Yamaguchi, S., Taketomi, S., Funakoshi, Y., Tsuchiya, K., Akagi, R., Kimura, S., Sadamasu, A., & Ohtori, S. (2017). Stress fracture of the second proximal phalanx of the foot in teenage athletes: Unrecognized location of stress fracture. Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology, 1012-16. https://doi.org/10.1016/j.asmart.2017.09.001
Yamaguchi, Satoshi, et al. "Stress fracture of the second proximal phalanx of the foot in teenage athletes: Unrecognized location of stress fracture." Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology vol. 10 (2017): 12-16. doi: https://doi.org/10.1016/j.asmart.2017.09.001
Yamaguchi S, Taketomi S, Funakoshi Y, Tsuchiya K, Akagi R, Kimura S, Sadamasu A, Ohtori S. Stress fracture of the second proximal phalanx of the foot in teenage athletes: Unrecognized location of stress fracture. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2017 Oct 12;10:12-16. doi: 10.1016/j.asmart.2017.09.001. eCollection 2017 Oct. PMID: 29392111; PMCID: PMC5780280.
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Asia Pac J Sports Med Arthrosc Rehabil Technol. 2017 Oct 12;10:12-16. doi: 10.1016/j.asmart.2017.09.001. eCollection 2017 Oct.

Stress fracture of the second proximal phalanx of the foot in teenage athletes: Unrecognized location of stress fracture.

Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology

Satoshi Yamaguchi, Shuji Taketomi, Yusei Funakoshi, Kan Tsuchiya, Ryuichiro Akagi, Seiji Kimura, Aya Sadamasu, Seiji Ohtori

Affiliations

  1. Collage of Liberal Arts and Sciences, Chiba University, Japan.
  2. Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Japan.
  3. "Socrates" Football Medicine Study Group in Kanto Region, Japan.
  4. Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Japan.
  5. Department of Orthopaedic Surgery, Seirei Hamamatsu General Hospital, Japan.
  6. Kitachiba Spine & Sports Clinic, Japan.

PMID: 29392111 PMCID: PMC5780280 DOI: 10.1016/j.asmart.2017.09.001

Abstract

BACKGROUND: Adolescent athletes are a high-risk population for stress fractures. We report four cases of stress fractures of the second proximal phalanx, which had not been previously diagnosed as the location of the stress fracture of the foot, in teenage athletes.

CASE REPORT: All fractures were on the plantar side of the proximal phalangeal base, and the oblique images of the plain radiograph clearly depicted the fractures. Notably, three out of the four patients had histories of stress fracture of other locations. While three athletes with acute cases were able to make an early return to play with simple conservative management, the chronic case required surgical treatment for this rare injury.

CONCLUSION: Although a rare injury, it is important that clinicians be aware of this type of stress fracture, as a timely diagnosis can avoid the need for surgical treatment and allow an early return to play.

Keywords: Foot; Second toe; Stress fracture

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