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[1] [2] Although generally associated with the fifth toe and big toe, it can occur in any toe. [1] [13] In such a fracture, the hard blow to the tip of the distal phalanx typically results in a transverse or oblique fracture in the proximal phalanx (base of toe), but can occur in any phalanx. [1] [13]
These fractures are sometimes called march fractures, based on their traditional association with military recruits after long marches. The second and third metatarsals are fixed while walking, thus these metatarsals are common sites of injury. The fifth metatarsal may be fractured if the foot is oversupinated during locomotion. [9]
In the foot, the distal phalanges are flat on their dorsal surface. It is largest proximally and tapers to the distal end. The proximal part of the phalanx presents a broad base for articulation with the middle phalanx, and an expanded distal extremity for the support of the nail and end of the toe. [10]: 6b. 3.
Proximal fractures of 5th metatarsal. The tuberosity avulsion fracture (also known as pseudo-Jones fracture or dancer's fracture [2] is a common fracture of the fifth metatarsal (the bone on the outside edge of the foot extending to the little toe). [3] This fracture is likely caused by the lateral band of the plantar aponeurosis (tendon). [4]
An avulsion fracture at the base of the fifth metatarsal is sometimes called a "dancer's fracture" or a "pseudo Jones fracture", and usually responds readily to non-operative treatment. [18] The X-ray appearance of the developmental "apophysis" in this area may have some resemblance of a fracture, but is not a fracture; it is the secondary ...
The flexor hallucis longus and flexor digitorum longus flex the interphalangeal joint of the big toe and lateral four toes, respectively. The tendons of both of these muscles cross as they reach their distal attachments. In other words, the flexor hallucis longus arises laterally, while the flexor digitorum longus arises medially.
The fifth metatarsal has a rough eminence on the lateral side of its base, known as the tuberosity or the styloid process. The plantar surface of the base is grooved for the tendon of the abductor digiti quinti. The head articulates with the fifth proximal phalanx, the first bone in the fifth toe.
Jones fracture – a fracture of the fifth metatarsal; March fracture – a fracture of the distal third of one of the metatarsals occurring because of recurrent stress; Calcaneal fracture; Broken toe – a fracture of a phalanx; Cuneiform fracture – Due to the ligamentous support of the midfoot, isolated cuneiform fractures are rare. [16]