ABSTRACT
The number of participants in running programs at all levels has increased in recent years. As a consequence, practitioners are more frequently dealing with diagnoses in symptomatic runners. Detection of tarsal navicular stress fractures in long distance runners, including the diagnostic value of radionuclide bone scanning, is discussed.
Subject(s)
Fractures, Bone/diagnostic imaging , Running , Tarsal Bones/injuries , Adolescent , Adult , Athletic Injuries/diagnostic imaging , Female , Humans , Male , Radionuclide Imaging , Stress, Mechanical , Tarsal Bones/diagnostic imagingABSTRACT
1. Polydactyly should be treated early. 2. Adequate bone and soft tissue should be removed. 3. One arm of the Y should be removed surgically in the incompletely duplicated Y metatarsal. 4. The incompletely duplicated Y metatarsal shaved to form a single shaft may at first be bowed, but will remodel to form normal or nearly normal bone. 5. The wide metatarsal head associated with a duplicated phalanx should be narrowed surgically to avoid the development of a painful bunion. 6. Short block-like metatarsals remain abnormal. 7. Polydactyly associated with a short first metatarsal and congenital hallux varus carriers a poorer treatment prognosis and may require continuing treatment. 8. Postoperative casting and taping should be utilized to prevent angular deformities and encourage normal forefoot contour.
