Cuboid Stress Fractures – StatPearls

Continuing Education Activity

Overuse injuries are a common entity in medical practice. Stress reactions and fractures make up a significant portion of patients in a typical sports medicine clinic. Though rare, an isolated cuboid stress fracture should be considered in a patient presenting with lateral foot pain. This activity outlines the evaluation and treatment of cuboid stress fractures and highlights the role of the interprofessional team in evaluating and treating patients with this condition.

Objectives:

• Review the risk factors for developing a cuboid stress fracture.

• Explain the common physical exam findings associated with a cuboid stress fracture.

• Summarize treatment considerations for patients with cuboid stress fractures.

• Summarize the importance of the interprofessional team in treatment considerations for patients with cuboid stress fractures.

Access free multiple choice questions on this topic.

Introduction

Foot conditions can be a challenging area to diagnose and treat due to their complex anatomy. The foot is comprised of 26 bones and 33 joints.  The foot anatomically subdivides into the hind-foot, mid-foot, and forefoot.  The cuboid bone is within the area of the mid-foot. This area comprises the navicular medially, three cuneiform bones, and the cuboid on the lateral side.  The cuboid bone is on the most lateral aspect of the mid-foot, articulating with the calcaneus proximally and the base of the fourth and fifth metatarsals distally.  Due to the repetitive mechanical forces dissipated in the area, the foot is prone to overuse injuries, especially stress fractures.  Isolated stress fractures of the cuboid are rare, a review of literature showing less than a 1% incidence. This condition should be a consideration in a patient with continual lateral foot or ankle pain, especially if the patient has persistent lateral foot pain, is athletically inclined, and has a history of repetitive use such as running, triathlon, and jumping activities such as ballet.[1]

Etiology

Stress fractures are within a spectrum of overuse injuries to bone, caused by changes in training regimen in professional athletes, highly competitive recreational athletes and military recruits. Raised levels of fitness activities in today’s population and advanced imaging technologies have caused a rise in reported cases of stress fractures, which now make up 10% of cases in a typical sports medicine practice.[2]

The thinking regarding the underlying etiology of stress injuries to the bone is that they are the result of repeated mechanical stress, which can be either compressive or tensile. Taken individually, the single loading does not lead to a failure of the bone cortex. However, the amalgamation of the individual loading stresses can lead to mechanical failure of the bone, leading to a stress fracture. The initial stage of bone failure is generally called a stress reaction. This diagnosis is made in a symptomatic patient who has a bone scan or MRI evidence of bone periosteal reactive changes without a true fracture line. Many factors influence the risk of stress fractures, these being divided into intrinsic (gender, age, race), extrinsic (training regimen, footwear, surface, sport), biomechanics (bone geometry), hormonal (menses abnormalities, contraception, thyroid) and nutritional (eating disorders).[2]

Epidemiology

While stress fractures of the lower extremities are common within the athletic population, cuboid stress fractures are a relatively rare entity.  In a review of 196 cases of stress fractures (125 fractures in males and 71 in females), the most common site was the tibial shaft (44.4%), followed by the foot (15%), metatarsals (9.7%) and the tarsals (1%).  Another study detailed 113 stress fractures in soldiers of which the majority were in the metatarsals, and only 1 of the 113 was in the cuboid bone.[1] When found and diagnosed, these isolated cuboid stress fractures most commonly present in endurance sport athletes (marathon, half-marathon, triathlon), but there are also reports in other sports involving large loading forces on the cuboid to include ballet, gymnastics, basketball, and rugby.

Pathophysiology

Bone remodels in response to a focal point of mechanical stress. The rate and amount of remodeling depend upon the number and frequency of loading cycles a bone is subjected (Wolff law). An abrupt increase in the frequency, intensity, or duration of physical activity without adequate periods of rest may result in pathologic bone changes. These pathologic changes are the result of an imbalance between bone resorption and formation.  A sudden increase in exercise and training loading stress can lead to pathophysiologic adjustments and transformations in bone architecture.  With periods of intense loading stress, bone resorption outweighs bone formation, making the bone very vulnerable to micro-fractures of the cortex. 

With continued overload, micro-fractures may propagate (symptoms generally develop during this process) and eventually coalesce into a discontinuity within the cortical bone (i.e., a stress fracture). Continued overload can complete the fracture and result in mechanical failure with the displacement of the cortex and development of a frank fracture.[3]

History and Physical

Patients will generally present with insidious onset of pain over weeks to months. Initially, the pain is only with weight-bearing and activity.  As the injury worsens, symptoms gradually progress to pain at rest, which is a cardinal symptom of a stress fracture. Activity history will usually be affirmative for rapid increases in distance, duration, or intensity of training. Other pertinent questions would be changes in running/playing surfaces and the amount of time rested between training events. The practitioner should also investigate menstrual history in females, nutrition (to include calcium and vitamin D intake), medications, footwear, and special equipment used (especially in a sport such as a triathlon). 

On physical examination, there is the hallmark localized point tenderness on the lateral foot, especially in the area of the cuboid bone. There may also be some mild erythema and subtle soft tissue swelling over the lateral foot area. The “Nutcracker” provocation test in which the examiner stabilizes the calcaneus while the forefoot is abducted, compressing the cuboid between the calcaneus and the base of the fourth and fifth metatarsals may produce pain is specific for this injury.[4]

Evaluation

Imaging with plain radiographs is usually negative at the early stages of a stress fracture, but these studies are needed initially to differentiate other pathologies such as tumor, osteomyelitis, or oblivious fracture.  Conventional radiographs have a sensitivity of 15% to 35% on initial examination, which increases to 30% to 70% over a 2 to 3 week period due to a more pronounced bone periosteal reaction which may be appreciated by the presence of hardly noticeable flake like patches of new bone 2 to 3 weeks after the onset of pain.[2] Advanced imaging modalities such as computed tomography (CT), MRI or radionuclide bone scan can be helpful when the diagnosis is questionable, or stress fracture is suspected. In the 1970s, a bone scan was primarily used as the imaging modality of choice to diagnose a stress fracture, tracing the uptake of technetium-99m diphosphate being characteristic of a stress reaction or fracture.[3]

MRI has now largely replaced bone scans as the imaging modality of choice. It offers greater specificity and visual resolution over the previously used nuclear bone scan study. Bone scan, however, may still be used in some clinical situations, such as a patient with metal hardware or a pacemaker, which precludes an MRI scan. CT scan can be used to identify incomplete and complete fractures but does not help in the identification of stress reactions. CT, however, is thought to be more useful than MRI for following the healing of stress fractures. As a stress fracture heals, the initial edema seen well on MRI gets replaced by a sclerotic periosteal reaction, which a CT scan visualizes better. There is a role for diagnostic ultrasound as an adjunct to the physical examination. A recent study found the application of point of care ultrasound to have a positive predictive value of 99%.[3]  However, the amount of training necessary in deployment and interpretation of diagnostic bedside musculoskeletal ultrasound may limit its universal application across various practices.

MRI scan is considered the “gold standard” for diagnosis of a stress fracture with a reported sensitivity near 100%.[5] It merits consideration if pain persists over two weeks with symptoms concerning for a stress fracture such as rest pain and inability to bear weight. MRI is also an option if there is a question regarding the exact diagnosis and to rule out other types of conditions, which may cause pain in the lateral foot such as peroneal tendinopathy, painful os peroneum syndrome, fracture of the anterior process of the calcaneus, or lateral ankle sprain.

Treatment / Management

An isolated cuboid stress reaction/fracture is typically manageable by a primary care clinician (who is knowledgeable and comfortable with fracture management), podiatry, sports medicine, or orthopedics. Appropriately managed, these stress fractures are among the quickest to heal, as the cuboid has a generous vascular supply.

A conservative staged treatment approach is recommended starting with non-weight bearing (NWB) with crutches for the initial two weeks. Once the patient is pain-free, they move into protected weight bearing (sufficient weight-bearing to ensure the patient is pain-free). Once the patient is pain-free, the athlete can transition into a CAM boot or short leg walking cast for another two weeks. The next few weeks are spent in a gradual return to activity of daily living (ADL), walking plus swimming, walking plus stationary cycling, walking plus the elliptical trainer. A zero-gravity treadmill is also an option for high-level athletes. Once a patient can make it through pain-free, a 6-week walk-to-run program follows. Formal physical therapy may be incorporated to include strengthening, range of motion, and proprioception exercises to offset any deconditioning from the period of non-weight bearing.  Some patients make it through the staged rehabilitation quickly, while others may spend 1 to 2 weeks in each stage.  At any point in the rehabilitation, if pain returns, they should step back to a previous pain-free stage for 1 to 2 weeks, then make a gradual advance to the next stage.

There are some adjunctive oral medications found in the literature to include bisphosphonates, oral contraceptive pills, and vitamin D supplementation. With bisphosphonates, the pharmacology is the inhibition of osteoclast activity, reducing bone resorption and turnover. Bisphosphonates are primarily indicated in the treatment of osteoporosis. The role of bisphosphonates in the prevention and treatment of stress fractures is unclear.  A major prospective, randomized study conducted on 324 young military recruits did not show a decreased incidence of stress fractures with the bisphosphonates group versus placebo.[3] Hormone replacement therapy via oral conceptive pills (OCPs) to increase bone mineral density is also controversial.  A randomized study of 150 young female runners treated with low-dose OCP versus placebo revealed that while stress fracture incidence subjectively trended lower in the OCP group, it did not prove to be statistically significant.[3]

Evaluating possible vitamin D deficiency on athletes diagnosed with a  stress fracture, especially in female patients, is a common question in practice.   A recent study of 5201 U.S. Navy female recruits, which evaluated a daily vitamin D (800 international units) combined with calcium (2000 mg) vs. placebo, confirmed decreased stress fracture rates in the vitamin D/calcium group.[6]  Though somewhat controversial, routine evaluation of vitamin D levels with treatment of vitamin D deficiency should still be a consideration with a stress injury diagnosis. In our military sports medicine practice, clinicians should evaluate vitamin D levels of patients with a stress fracture that appear in uncommon locations and also in injuries that do not improve within the expected time frame. 

Reduced calories in athletes, which requires a low BMI such as gymnasts, dancers, track and field, should undergo evaluation and treatment.  Restricted calories decrease the body of vital nutrients needed for bone metabolism, which can lead to an increased incidence of stress fractures and prolonged healing.

Bone stimulators have achieved attention in the last few years.  There are currently two types of devices on the market.  The first type uses electromagnetic energy that generates magnetic fields over the fracture site. The premise is that this energy can open calcium channels in cell membranes, which increase calmodulin, thus increasing cell proliferation and healing.  However, no conclusive data demonstrate that electromagnetic bone stimulators enhance healing.[3]  The second type is a pulsed ultrasound device that is theorized to increase vascular endothelial growth factor and fibroblast growth factor, which can promote angiogenesis.  Unfortunately, literature pertaining specifically to pulsed ultrasound is limited.  There was a small military study which looked at 43 tibial shaft fractures.  This study concluded there was no significant difference in time to healing by adding a pulsed ultrasound bone stimulator to the usual treatment regimen of rest and activity modification.[3]

Extracorporeal shockwave therapy (ESWT) stimulates osteogenesis and angiogenesis and has been shown to be an effective treatment option for stress fractures.[7][8] Additionally, several level 1 studies show ESWT can produce comparable results to surgery when treating non-unions.[9][10]

Differential Diagnosis

Other overuse syndromes of the midfoot may present like a cuboid stress fracture. These conditions include tendonitis of the peroneus brevis tendon at the insertion at the base of the fifth metatarsal.  Tenderness to palpation and focal pain with resisted eversion of the foot pinpointed at the fifth metatarsal styloid will help differentiate peroneus brevis tendonitis from cuboid pathology. 

Os peroneum is also a consideration; this is a rounded accessory ossicle found within the substance of the peroneus longus tendon, just lateral to the cuboid bone. This ossicle may become inflamed and irritated with repetitive activity. The presence of the ossicle on radiographs with focal tenderness strongly suggests the diagnosis.

Subluxed cuboid syndrome is another cause of lateral foot pain and has been reported to be present in approximately 7% of patients after a plantar-flexion and inversion type ankle injury. Treatment of this condition may consist of manual manipulation techniques such as the cuboid whip maneuver, which will relieve the pain.[11]

Tarsometatarsal osteoarthritis can mimic pain caused by a cuboid stress fracture. Tarsometatarsal arthritis usually presents with the typical diurnal pain pattern of start-up pain in the morning, followed by a pain-free interval, then increasing pain with activity during the day. Physical exam alone often cannot distinguish between the two. A plain radiograph will often show typical features of osteoarthritis, such as joint space narrowing, osteophytes, and subchondral bone cysts within the tarsal-metatarsal joint.

Prognosis

With a rich blood supply, cuboid stress fractures are among the quickest stress fractures to heal and generally carry a good prognosis.  These are considered “low risk” stress fractures and will usually heal with nonoperative management.[3] In a case series involving six tarsal bone stress fractures, Miller et al. reported a mean expected time to return to athletic participation of 12.1 weeks in division 1 collegiate athletes.[12] 

Complications

Stress fractures, in general, may have complications. Though considered a low-risk area, complications may include:

• Non-union with possible need for surgery

• Deconditioning 

• Cast complications to include skin breakdown

• Excessive bone callus formation leading to chronic pain over the area

Patients with complications should have a referral to an orthopedist, podiatrist, or sports medicine specialist.

Deterrence and Patient Education

It is important to emphasize to the coaching staff to encourage athletes to seek medical attention if they are experiencing any unusual pain or symptoms. Athlete education is also of paramount importance. Within our military sports medicine practice, we spend a great of time talking to our patients regarding proper footwear selection, training surfaces, and running/race walking technique. Clinicians should also encourage the use of a shoe made specifically for running or walking versus a general type of athletic shoe. Health care providers require knowledge regarding appropriate running shoes for an athlete’s foot type (normal arch, high arch, flat arch).

Additionally, athletes should be encouraged to undertake a slow, gradual increase in time, pace, and distance. Cross-training with cycling, swimming, elliptical is also highly encouraged. Lastly, patients should receive counsel on the importance of a proper diet to include caloric intake and appropriate intake of vitamins and minerals, especially calcium and vitamin D.

Enhancing Healthcare Team Outcomes

An interprofessional team approach is optimal in the treatment of stress fractures, especially if there are other issues involved with the patient. Physical therapy is vital for the rehabilitation stages. Athletic trainers, exercise nurse, and proper coaching can be key facets to prevent injuries by emphasizing proper form and technique. Exercise physiology and formal running coaching are essential to evaluate and correct improper running gait. An endocrinology evaluation would benefit metabolic etiologies of low bone density. If an eating disorder, as seen in the female athlete triad patient, consultations of nutritional medicine and mental health would be crucial to ensure optimal treatment and outcomes. All these disciplines need to communicate across interprofessional lines to optimize patient care leading to the best results in managing these injuries. [Level V]

Figure

MRI image of increased signal (white areas) on the cuboid bone which indicates a stress fracture. Contributed by Asia Pacific Journal of Sports Medicine

Figure

Cuboid fracture. Image courtesy S Bhimji MD

References

1.

Unnithan S, Thomas J. Not all ankle injuries are ankle sprains – Case of an isolated cuboid stress fracture. Clin Pract. 2018 Jul 10;8(3):1093. [PMC free article: PMC6060484] [PubMed: 30090220]

2.

Berger FH, de Jonge MC, Maas M. Stress fractures in the lower extremity. The importance of increasing awareness amongst radiologists. Eur J Radiol. 2007 Apr;62(1):16-26. [PubMed: 17317066]

3.

Mayer SW, Joyner PW, Almekinders LC, Parekh SG. Stress fractures of the foot and ankle in athletes. Sports Health. 2014 Nov;6(6):481-91. [PMC free article: PMC4212349] [PubMed: 25364480]

4.

Joo SY, Jeong C. Stress fracture of tarsal cuboid bone in early childhood. Eur J Orthop Surg Traumatol. 2015 Apr;25(3):595-9. [PubMed: 25249481]

5.

Marshall RA, Mandell JC, Weaver MJ, Ferrone M, Sodickson A, Khurana B. Imaging Features and Management of Stress, Atypical, and Pathologic Fractures. Radiographics. 2018 Nov-Dec;38(7):2173-2192. [PubMed: 30422769]

6.

Lappe J, Cullen D, Haynatzki G, Recker R, Ahlf R, Thompson K. Calcium and vitamin d supplementation decreases incidence of stress fractures in female navy recruits. J Bone Miner Res. 2008 May;23(5):741-9. [PubMed: 18433305]

7.

Moretti B, Notarnicola A, Garofalo R, Moretti L, Patella S, Marlinghaus E, Patella V. Shock waves in the treatment of stress fractures. Ultrasound Med Biol. 2009 Jun;35(6):1042-9. [PubMed: 19243882]

8.

Taki M, Iwata O, Shiono M, Kimura M, Takagishi K. Extracorporeal shock wave therapy for resistant stress fracture in athletes: a report of 5 cases. Am J Sports Med. 2007 Jul;35(7):1188-92. [PubMed: 17293467]

9.

Furia JP, Juliano PJ, Wade AM, Schaden W, Mittermayr R. Shock wave therapy compared with intramedullary screw fixation for nonunion of proximal fifth metatarsal metaphyseal-diaphyseal fractures. J Bone Joint Surg Am. 2010 Apr;92(4):846-54. [PubMed: 20360507]

10.

Cacchio A, Giordano L, Colafarina O, Rompe JD, Tavernese E, Ioppolo F, Flamini S, Spacca G, Santilli V. Extracorporeal shock-wave therapy compared with surgery for hypertrophic long-bone nonunions. J Bone Joint Surg Am. 2009 Nov;91(11):2589-97. [PubMed: 19884432]

11.

Jennings J, Davies GJ. Treatment of cuboid syndrome secondary to lateral ankle sprains: a case series. J Orthop Sports Phys Ther. 2005 Jul;35(7):409-15. [PubMed: 16108581]

12.

Miller TL, Jamieson M, Everson S, Siegel C. Expected Time to Return to Athletic Participation After Stress Fracture in Division I Collegiate Athletes. Sports Health. 2018 Jul-Aug;10(4):340-344. [PMC free article: PMC6044125] [PubMed: 29240544]

Broken Tibia-Fibula (Shinbone/Calf Bone) | Boston Children’s Hospital

What is a fractured tibia-fibula?

A broken tibia-fibula is a fracture in the lower leg that happens when a fall or blow places more pressure on the bones than they can withstand.

A tibia-fibula fracture is a serious injury that requires prompt immediate medical attention. With timely and proper treatment, a broken tibia-fibula can heal completely.

What are the tibia and fibula?

The tibia and fibula are the two long bones in the lower leg. They connect the knee and ankle, but they are separate bones.

The tibia is the shinbone, the larger of the two bones in the lower leg. The top of the tibia connects to the knee joint and the bottom connects to the ankle joint. Although this bone carries the majority of the body’s weight, it still needs the support of the fibula.

The fibula, sometimes called the calf bone, is smaller than the tibia and runs beside it. The top end of the fibula is located below the knee joint but is not part of the joint itself. The lower end of the fibula forms the outer part of the ankle joint. The fibula helps stabilize the tibia but doesn’t carry much weight.

Although the tibia and fibula can break independently from each other, because they are so close together it is more common for both bones to break together. This is called a combined tibia-fibula fracture.

What are the different types of tibia-fibula fractures?

Bones grow and change from childhood into early adulthood, therefore, some tibia-fibula fractures are more common at certain ages.

• Cozen’s fractures are most common under the age of 6. This kind of fracture occurs at the top of the tibia, often when too much pressure is applied to the side of the knee, creating a bending force. For example, when a young child gets their leg trapped underneath their body, while going down a slide or sledding.
• Toddler fractures typically occur in children under the age of 4. This type of fracture often happens because the leg twists while the child is stumbling or falling. Toddler fractures occur near the middle of the tibia and can be difficult to see on an x-ray.
• Tibial tubercle fractures typically occur during adolescence. The tibial tubercle is a bony bump on the upper part of the shin where the quadricep muscle is attached to the bone by the patellar tendon. A tibial tubercle fracture is a break or crack at this location. It is most common when a child’s tibial tubercle is growing and the bone around that area is soft. Until the bone becomes stronger, a strong tug by the tendon can cause this part of the bone to break. This fracture typically occurs when trying to jump to dunk a basketball ball or do a flip.

What are the symptoms of a broken tibia-fibula?

Generally, a tibia-fibula fracture is associated with:

• pain or swelling in the lower leg
• inability to stand or walk – this is less likely if only the fibula is broken
• limited range of motion in the knee or ankle area
• bruising or discoloration of the skin around the break

What causes a broken tibia-fibula?

Tibia-fibula fractures are usually a result of a fall or hard blow to the leg that puts too much force on the bone. Common causes include:

• sudden twist if the leg is stiff or planted in place, which is common in football, hockey, and basketball
• falls while ice skating, skiing, or snowboarding when the foot is secured in a boot  the fracture often occurs above the boot
• falls on a trampoline or playground structure

How is a broken tibia-fibula diagnosed?

An x-ray is the main diagnostic tool for a tibia-fibula fracture. It is a painless test that uses small amounts of radiation to produce images of your child’s bones and soft tissue.

After the doctor has corrected the position of the broken bones, an x-ray can also help confirm that the bones are in proper alignment. At follow-up appointments, x-rays can help your child’s doctor see whether the bones are healing correctly.

Other imaging tests that can reveal damage to muscles, ligaments, or blood vessels around the bone include:

How is a broken tibia-fibula treated?

Treatment for a broken tibia-fibula will depend on the location, complexity, and severity of your child’s fracture. Your child’s age and overall health may also affect their treatment.

Reduction

A reduction is a non-operative procedure that is usually performed in the emergency department. During a reduction, the doctor realigns the broken bone so it will heal properly with the help of medications to relax the child.

Casting and crutches

Once the bone is in place, a technician will put your child’s leg in a cast, splint, or Aircast® boot to immobilize the bone while it heals. Your child may need to use crutches or a wheelchair while their leg is healing.

What kind of cast is used for a broken tibia or tibia-fibula?

If your child has a broken tibia or broken tibia-fibula, they will need to wear a cast or boot for six to 12 weeks. During this time, they will probably have a long leg cast for six weeks followed by a short leg cast and then an Aircast® boot.

Waterproof casts make it easier to bathe. However, broken limbs typically swell, therefore a waterproof cast is not used for the first several weeks after the initial fracture.

If your child had a less severe fracture, they may be treated with a combination of a short leg cast and an Aircast® boot.

What kind of cast is used for a broken fibula?

If your child has a broken fibula, they will need to wear a short leg cast at first. Their doctor may prescribe an Aircast® boot as the bone heals.

Physical therapy

Your child’s doctor may prescribe physical therapy to help restore the leg’s strength, gait, range of motion, and function after the fracture has healed.

When is surgery necessary for a broken tibia-fibula?

Your child may need surgery if they have a more complicated or severe fracture.

If your child is older than 5 and doesn’t yet have mature bones, a surgeon may insert flexible nails into the bone through small incisions in the skin. These flexible nails realign the bone and hold it in place while allowing the bone to grow and heal. Typically, a cast is also used after surgery to help the bone heal.

If your child is an adolescent or young adult, the surgeon may use a rigid nail instead of a flexible nail. Whether flexible or rigid, the nail can remain in place permanently or be removed.

For a more severe fracture, a surgeon may insert metal plate and screw into the bone (internal fixation) or outside the body (external fixation). These hold bone fragments in place and help keep bones aligned as they heal.

How long does it take for a broken tibia-fibula to recover?

Your child’s recovery time will depend on the complexity of the break and how soon it was treated. Recovery from a tibia-fibula fracture typically takes about three to six months. Your child may be able to heal faster by resting and not putting too much weight on their leg until the bone has healed.

How we care for tibia-fibula fractures at Boston Children’s Hospital

Every year the Orthopedics and Sports Medicine Center at Boston Children’s Hospital treats thousands of children, adolescents, and young adults with fractures of all complexities. Thanks to our pediatric expertise, we can precisely diagnose conditions related to the growing musculoskeletal system and optimal care plans.

Our Orthopedic Urgent Care Clinic treats patients with orthopedic injuries that require prompt medical attention but are not serious enough to need emergency room care. We offer urgent care services in four locations — Boston, Waltham, Peabody, and Weymouth.

Patient Resources

Our experts in Orthopedic Urgent Care have created a series of helpful guides describing the different types of leg fractures, treatments, and how to care for them.

KBC 13: Amitabh Bachchan shares pics of his fractured toe, fancy ‘sock-like’ shoes from sets | Bollywood

Amitabh Bachchan, who is currently recuperating from a fractured toe, wishes he could go back to his younger days when he could rock any outfit. The actor shared a collage of two photoshopped pictures which show him in two different looks. He captioned the post on Instagram, “Would be so nice to be back to such days .. but…”

The first picture shows him in a black, fitted, side-buttoned blazer and striped trousers in a complementing shade, as he walks with a stick for some added drama. The other picture shows him in a more vibrant look – a camouflage tee paired with a colourful beach theme trousers and casual shoes.

+

 Actor Ronit Roy commented, “My life is centered around those days Amit ji… my entire existence is a sum total of THOSE days.” The post received more than 3 lakh likes and hundreds of comments within a few hours. 

Despite nursing a fractured toe, Amitabh still made it to the shoot of his ongoing quiz reality show Kaun Banega Crorepati. The actor stepped out in a traditional avatar in accordance with the upcoming Navratri festival. He ditched his trademark suits to opt for a white kurta pyjama paired with Nehru jacket. Keeping up with the new trend, he opted for shoes which not only added to his style but were also comfortable for his toe. He later shared pictures from the shoot on his blog.

Amitabh Bachchan in trendy shoes.
Amitabh Bachchan injured his toe.

Still calling it a “rewarding journey”, the actor wrote on his blog, “and the camouflage shoes for the fractured toe .. socks like wearing but indeed a shoe .. soft protection for the toe that has been damaged and broken .. but still the joi de vivre (?) spell check .. and more .. a rewarding journey to the end of times whatever they be ..” He continued, “the broken toe, fractured at the base and in the pain of excruciating .. the despondency of the space do never be put in plaster .. for there is no discovered method yet .. so a soft efficient job done known in common tongue as ‘buddy taping’ .. buddy, because the broken finger is given sympathy by the one next door, joined together in some unison and taped for 4-5 weeks.”

Also read: Kaun Banega Crorepati 13: Amitabh Bachchan stops Pratik Gandhi from delivering Deewar lines in Gujarati, here’s why

Amitabh was recently seen in the much delayed mystery thriller Chehre. It released in theatres in August and boasted of a huge starcast including Emraan Hashmi, Rhea Chakraborty, Krystle D’Souza and Annu Kapoor.

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Fact check: Biden is not wearing an ankle monitor, but an orthopedic boot after suffering hairline fracture

In the first week of December 2020, social media posts showing President-Elect Joe Biden stepping out of a car with an orthopedic boot on his right foot falsely claimed that he was wearing an ankle monitor. Having suffered hairline fractures in his foot while playing with one of his dogs, Biden will likely require a walking boot for several weeks. Users alleging that Biden is hiding an ankle monitor with his boot provide no evidence and are likely tied to conspiracy theorists QAnon.

U.S. President-elect Joe Biden, wearing an orthotic boot to protect his injured foot, arrives to announce nominees and appointees to serve on his economic policy team at his transition headquarters in Wilmington, Delaware, U.S., December 1, 2020. REUTERS/Leah Millis

With nearly 3,000 shares at the time of this article’s publication, one post shared footage of Biden exiting a car and walking with his new boot with the caption “Well, there it is. #AnkleMonitor” (here). Similar claims can be found at here and  here .  

As reported here by Reuters, Biden suffered hairline fractures in his foot while playing with one of his dogs and will probably have to wear a protective boot for several weeks, his personal physician said on Nov. 29. 

The incident happened on Nov. 28 and the 78-year-old Democrat visited an orthopedist the next day for x-rays and a CT scan, Biden’s office said in a statement. Doctors initially thought the former vice president had merely sprained his ankle but ordered an additional scan of the injury. A “follow-up CT scan confirmed hairline (small) fractures,” Biden’s personal physician Kevin O’Connor said in a separate statement distributed by Biden’s office. “He will likely require a walking boot for several weeks.”

Taken on Dec. 1 in Wilmington, Del., Reuters images of Biden stepping out with his boot can be found here , here and here . Provided by The Recount, footage of the scene is available here .  

As reported here by Newsweek, the claims seem to have originated on Twitter among followers of QAnon, the unfounded and sprawling conspiracy theory espousing that U.S. President Donald Trump is secretly fighting a cabal of child-sex predators that includes prominent Democrats, Hollywood elites and “deep state” allies (here).  

For QAnon adherents, a Biden arrest is an essential part of “the storm” – “the great revelation where Trump would arrest his enemies for their crimes,” according to Foreign Policy (here).  

Social media posts linking the boot and alleged ankle monitor to “the storm” can be found at here , here and here .  

The Reuters Fact Check team previously debunked similar claims stemming from QAnon that Ellen DeGeneres, Oprah Winfrey and Hillary Clinton were also concealing ankle monitors ( here ,  here ).  

Social media users claiming that Biden was arrested, that he is concealing an ankle monitor and that his injury is not real do not provide any evidence for their allegations.

Some have argued that someone with foot fractures would not be able to put weight on his foot ( here , here ) without noting the express purpose of a wearing such a boot.  

As explained here by the University of Wisconsin – Madison School of Medicine and Public Health, a walking boot “is made for weight bearing (putting weight on your foot) and walking.” It lists common reasons for using the boot as “fractures, foot/leg injuries and Achilles tendon repair/injury.” 

VERDICT

False. After suffering hairline fractures on his right foot, President-Elect Joe Biden is currently wearing a walking boot, not an ankle monitor. Claims that he is using the boot to conceal a monitor are unfounded.

This article was produced by the Reuters Fact Check team. Read more about our fact-checking work here .  

Distal Tibia Fractures – Orthopedic Trauma Service

Case Example

A 42-year-old male slipped and fell approximately 14 feet while working on a ladder onto his right lower extremity. He was taken to our affiliated Emergency Department at NewYork-Presbyterian Hospital, and placed under the care of Dr. David L. Helfet. Radiographs revealed a right-sided displaced distal tibial pilon fracture with extensive articular comminution and associated displaced fibula fracture with significant soft tissue swelling. A spanning external fixator was placed for initial treatment followed by Open Reduction and Internal Fixation (ORIF) of his fibula fracture with placement of a 7-hole locking plate to achieve restoration of length. ORIF of the pilon fracture was performed at 3 weeks following resolution of the soft tissue swelling and the fracture was reduced and fixed an 2 locking plates and screws were placed laterally and anteriorly. He returned for follow-up visits at regular intervals and at 5 months following the index surgery radiographs revealed a healed distal tibial pilon fracture in good alignment and he reported resolution of pain and return to pre-injury activities.

Anteroposterior and lateral radiographs illustrating a right-sided displaced distal tibial pilon fracture with extensive articular comminution and associated displaced fibula fracture and (right images) fluoroscopic and anteroposterior x-ray following placement of external fixation and ORIF of the fibula fracture.

CT scan images further delineating the fracture pattern and pre-operative surgical plan.

Radiographs at 5 months following the index surgery reveal a healed pilon fracture in excellent alignment
and maintenance of fixation.

Research

The HSS Orthopedic Trauma Service has conducted many studies. Please see our publication on tibia fractures and ankle fractures.

Related Foot & Ankle Case Examples

Fractured Kneecap | Cedars-Sinai

What is a fractured kneecap?

The kneecap (the patella) is a triangular bone at the front of the knee. Several tendons and ligaments connect to the kneecap, including ones attached to the upper leg (femur) and lower leg (tibia) bones.

Though the kneecap is not needed for walking or bending your leg, it makes your muscles more efficient and absorbs much of the stress between the upper and lower portions of the leg. Climbing stairs and squatting can put up to seven times your normal body weight on the kneecap and the joint behind it.

Kneecap fractures account for about 1 percent of all skeletal injuries. The kneecap can fracture in many ways: partially or completely, into a few or into many pieces. Sometimes when the kneecap is fractured, the ligaments or tendons attached to it can be sprained or torn.

What causes a fractured kneecap?

In most cases, a broken kneecap is caused by a direct blow to the front of the knee from a car accident, sports or a fall onto concrete.

Most kneecap fractures occur in people between the ages of 20 and 50.

How is a fractured kneecap diagnosed?

A doctor can often diagnose a fractured kneecap by asking you about the details of your accident and examining you. Your doctor will look at your knee, focusing on where it is tender, swollen or misshapen. Your doctor may also ask you to raise your leg or extend your knee, possibly after giving you a local anesthetic to eliminate pain. This helps the doctor see if there are other injuries in and around your knee.

X-rays, taken from several angles, are the best way to learn the extent of a fractured kneecap and to check for other injuries. If other injuries are suspected, a computed tomography or magnetic resonance imaging scan may be done.

How is a fractured kneecap treated?

Two types of surgery may be done to repair a fractured kneecap:

Open reduction-internal fixation (ORIF) surgery: The surgeon opens the skin and puts the broken bones back together with metal wires, pins or screws. Broken pieces of bone too small to be fixed are removed. If the kneecap is so severely fractured that it cannot be repaired, it may be partially or totally removed.

After the bones have been joined, the opening is closed, a sterile dressing is put over the area and the knee is put in a cast or other device so it cannot move while it heals.

Sometimes, especially in patients who are thin, the wires, pins or screws can be irritating. In this case, the devices will be removed after the kneecap has fully healed.

Full or partial patellectomy: This two-hour procedure removes all or part of the kneecap. If your surgeon finds that the break is too severe to repair, they will remove the damaged pieces of bone.

The surgery preserves the quadriceps tendon above the kneecap, the patellar tendon below and other soft tissues around the kneecap. After this surgery, you will be able to extend your knee, but the extension will be weaker.

Once your kneecap has healed, making the muscles around your knee stronger can help avoid further injury. Playing contact sports or doing other activities that put stress on your knee can increase the risk of another injury to the kneecap. You should avoid these activities or use a kneepad to cushion the blow when playing contact sports.

Physical therapy, learning ways to spare your knee stress and strengthening and conditioning your leg muscles on an on-going basis can help prevent more injuries to the knee.

Your best exercise options are low-impact and non-weight-bearing, like stationary bikes and certain weightlifting programs, so that the knees do not have to absorb shock.

Next steps

Tips to help you get the most from a visit to your healthcare provider:

• Know the reason for your visit and what you want to happen.
• Before your visit, write down questions you want answered.
• Bring someone with you to help you ask questions and remember what your provider tells you.
• At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
• Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
• Ask if your condition can be treated in other ways.
• Know why a test or procedure is recommended and what the results could mean.
• Know what to expect if you do not take the medicine or have the test or procedure.
• If you have a follow-up appointment, write down the date, time, and purpose for that visit.
• Know how you can contact your provider if you have questions.

© 2000-2021 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional’s instructions.

Tarsal Navicular Stress Fractures – American Family Physician

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Tarsal navicular stress fracture in athletes. Sports Med.
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22. O’Connor K,
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23. Roper RB,
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1986;76:521–4.

24. Quirk R.
Stress fractures of the navicular. Foot Ankle Int.
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25. Alfred RH,
Belhobek G,
Bergfeld JA.
Stress fractures of the tarsal navicular. A case report. Am J Sports Med.
1992;20:766–8.

26. Anderson EG.
Fatigue fractures of the foot. Injury.
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27. Baquie P,
Feller J.
Midfoot pain. Aust Fam Physician.
2000;29:875–7.

28. Matheson GO,
Clement DB,
McKenzie DC,
Taunton JE,
Lloyd-Smith DR,
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Scintigraphic uptake of 99mTc at non-painful sites in athletes with stress fractures. The concept of bone strain. Sports Med.
1987;4:65–75.

29. Kiss ZS,
Khan KM,
Fuller PJ.
Stress fractures of the tarsal navicular bone: CT findings in 55 cases. AJR Am J Roentgenol.
1993;160:111–5.

30. Saxena A,
Fullem B,
Hannaford D.
Results of treatment of 22 navicular stress fractures and a new proposed radiographic classification system. J Foot Ankle Surg.
2000;39:96–103.

31. Lee JK,
Yao L.
Stress fractures: MR imaging. Radiology.
1988;169:217–20.

32. Ariyoshi M,
Nagata K,
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MRI monitoring of tarsal navicular stress fracture healing–a case report. Kurume Med J.
1998;45:223–5.

90,000 therapy, photos, symptoms and signs. Signs of a fracture of the bones of the foot

Fracture of the foot is a fairly common injury and accounts for up to 20% of all bone fractures. You should not take this lightly, the consequences can be very negative, up to the inability to move without assistance.

Causes

With a sharp twist of the foot in any direction, jumping from a height with an emphasis on the legs, or when struck by a heavy object, this injury may occur.

Fractures of the metatarsal bones occur as a result of unexpected severe impact on the leg, excessive stress and overexertion.

Signs of a broken foot

Swelling of the injured area and pain are the earliest symptoms that indicate that you may have a broken foot. The photo below shows what a sore leg looks like.

Painful sensations can be so strong that a person cannot move. Bruising may also occur in the area of ​​injury.A displacement fracture is characterized by a change in the shape of the foot.

Sometimes a person does not realize that he has a fracture of the foot. Signs may not be pronounced, pain occurs only when the load on the injured leg. Therefore, to clarify the diagnosis, it is necessary to contact a traumatologist.

First aid

If you suspect a fracture of the bones of the foot, the injured limb must be fixed. You can use a makeshift splint made from planks, ski poles, or rods, which is attached with bandages to your leg.If nothing is at hand, you can bandage the injured limb to the healthy one using a scarf, shirt or towel.

In case of an open fracture, do not try to straighten the bone on your own, first of all it is necessary to stop the bleeding. To do this, you need to treat the skin around the wound with iodine or hydrogen peroxide. Then you need to carefully apply a sterile dressing. After first aid has been provided, the victim must be taken to a medical facility.

Diagnostics

First of all, the traumatologist must carefully examine the injured leg.Having discovered the symptoms of a foot fracture in the victim, the doctor takes an x-ray to determine the type and location of the damage. Very rarely, there is a need for computed or magnetic resonance imaging.

After a fracture has been diagnosed, treatment is prescribed, which depends on its type and on which bone is broken.

Fracture of the talus

This bone has some peculiarities. No muscle is attached to the talus. In addition, it transfers body weight to the entire foot.

Fracture of the talus, possible as a result of indirect injury, is uncommon and is considered severe damage to the bones of the foot. It is accompanied by other injuries, such as a fracture, dislocation of the ankle or other bones of the foot.

Symptoms

In case of injury, a sharp pain is felt, swelling of the foot and ankle occurs, hemorrhages are noticeable on the skin. If the fragments are displaced, you will notice that the foot is deformed.

To confirm the fracture, determine its localization, type and degree of bone displacement, X-ray examination is performed in two projections.

How to treat

If a displaced foot fracture is diagnosed, the bone fragments are immediately compared. The fact is that the later you see a doctor, the more difficult it will be to restore their correct position, sometimes even impossible.

Plaster is applied for a month and a half. Starting from the third week, you need to release the injured limb from the splint and make active movements with the ankle joint.

Somewhat later, physiotherapy exercises and massage, physiotherapy are prescribed.It takes two to three months to recover.

Fracture of the scaphoid

Occurs as a result of direct impact. Often times, a fracture of this bone in the foot is accompanied by injury to other bones.

Symptoms

A person cannot lean on a limb due to severe pain. Puffiness and hemorrhage appear. On palpation, attempts to turn the foot in and out, a person feels a sharp pain. An x-ray is recommended to confirm a fracture of the navicular bone of the foot.

Treatment

If no displacement is detected, the doctor applies a circular plaster cast to the affected area. For fractures of the scaphoid with displacement, bone fragments are compared; in some cases, an open reduction may be necessary. The foot is fixed with a plaster cast for a period of four to five weeks.

It is rather difficult to treat such a foot fracture in combination with a dislocation. If the dislocated fragment is not set in place, traumatic flat feet may develop.The displaced fragments are adjusted using a special pulling device. Sometimes it is necessary to resort to conducting an open reduction and fixing the adjusted fragment with a silk suture. After such a procedure, immobilization of the injured limb should continue for up to 10-12 weeks. In the future, it is necessary to wear orthopedic shoes.

Fractures of the cuboid and sphenoid bones

Most often, the injury occurs when a weight falls on the back of the foot and is accompanied by swelling of the soft tissues in the damaged area, pain on palpation and turning the foot in any direction.An x-ray is mandatory to confirm the fracture. After that, the leg is fixed with a plaster cast for a month and a half. For a year after such a fracture, it is recommended to wear an instep support.

Fracture of the metatarsal bones of the foot

This injury occurs most often among all fractures of the foot. There are two types of metatarsal fractures: traumatic and stress fractures.

Traumatic fracture

Is the result of external mechanical impact.It can be a fall of weight on the leg, crushing of the foot, a strong blow.

Signs

A traumatic fracture of the foot is manifested with a characteristic crunch and pain at the time of injury, you can notice a shortening of the toe or its deviation to the side. The pain is very severe at first, but diminishes over time, although it does not completely go away. Swelling or bruising occurs at the site of the injury.

Fracture stress (fatigue)

Such injuries, which include a fracture of the 5th metatarsal bone of the foot, are usually found in athletes and those who lead an active lifestyle.They appear as a result of excessive and prolonged load on the foot. In fact, such a fracture is a crack in the bone, and it is very difficult to notice it.

If a person suffers from various concomitant diseases, such as osteoporosis or deformity of the feet, his condition may worsen significantly. A stress fracture of the metatarsal bone also occurs in those who constantly walk in uncomfortable and tight shoes.

Symptoms

The first symptom that should alert you is pain that occurs in the foot after prolonged intense exertion and disappears in a calm state.Over time, it intensifies to such an extent that any action becomes impossible. Soreness persists at rest. Edema appears at the site of the injury.

The danger is that most people with such an injury are in no hurry to see a doctor, often a person does not even suspect that he has a broken foot. Signs in this case are not as pronounced as in other fractures, the patient walks and steps on the leg. Therefore, in order to avoid complications, it is necessary to consult a doctor immediately.

Fracture of the fifth metatarsal bone of the foot is the most common injury.

When the foot is tucked inward, an avulsion fracture may occur. In this case, there is a separation and displacement of the metatarsal bone. Splicing is very long, so you need to contact a traumatologist as soon as possible. In case of untimely treatment, the bone may not heal properly, in this case, surgical intervention will be required.

The base of the 5th metatarsal bone is an area with poor blood supply.It is at this point that the Jones fracture occurs. It arises against the background of stressful loads and grows together very slowly.

Diagnosis of metatarsal fracture

The victim is carefully examined by a doctor, examining not only the foot, but also the ankle joint, determines the presence of edema, hemorrhage and characteristic deformity. Then an X-ray is taken in direct, lateral and semi-lateral projections. After determining the fracture and its type, the necessary treatment is prescribed.

Treatment

If a minor fracture of the foot is found, treatment consists of a simple splint.In this case, the injured limb must be immobile for several weeks in order for the damaged bone tissue to completely heal.

When the bone is severely destroyed, it is necessary to perform internal fixation. This is done using special screws.

The severity and nature of the damage determines further treatment. Any non-displaced metatarsal fracture requires immobilization. The applied plaster will reliably protect the bone from possible displacement.Due to the fact that the foot is completely motionless, the bone tissue will grow faster.

If during the injury there was a displacement of fragments, you cannot do without surgical intervention. During the operation, the doctor opens the fracture area and compares the resulting fragments, and then fixes them with special knitting needles or screws. Then a plaster cast is applied for up to six weeks. The patient is forbidden to step on the injured leg. After six weeks, you can start walking.The needles are removed after three months, the screws after four. The patient is advised to wear orthopedic shoes or insoles.

For a Jones fracture, a plaster cast is applied from the toes to the middle third of the lower leg for up to two months. Do not step on the injured leg.

Crutches should be used to reduce the stress on the injured limb while walking. The patient must be observed by a doctor who will choose the right rehabilitation course to restore the impaired functionality in the injured foot.

The recovery period for a fracture of the metatarsal bone is quite long and includes physical therapy, massage, the use of instep supports, physiotherapy.

If such an injury is not treated or treated incorrectly, complications such as arthrosis, deformity, persistent pain and nonunion of the fracture may occur.

Fractures of the phalanges of the toes

This type of fracture of the bones of the foot is possible as a result of direct impact on the toes (for example, with a strong blow or a fall of weight).If the main phalanges do not heal properly, the function of the foot may be impaired. In addition, pain may occur when walking and limitation of the mobility of the injured limb. As a result of a fracture of the middle and nail phalanges, such consequences do not arise.

Symptoms

Cyanosis of the broken finger, swelling, pronounced soreness during movement is noted. With such injuries, a subungual hematoma is sometimes formed. To confirm the diagnosis, an X-ray examination in two projections is recommended.

Treatment

For fractures without displacement, a posterior plaster splint is applied to the affected finger. In the presence of displacement, there is a need for a closed reduction. Fragments of bones are fixed with needles.

Fractures of the nail phalanges do not need special treatment, usually fixation with an adhesive bandage is sufficient. The immobilization period is 4 to 6 weeks.

If you properly treat a foot fracture and strictly follow all the doctor’s recommendations, it is possible not only to shorten the recovery period, but also to prevent possible complications.

“Jinxed”: Anita Tsoi told how she again received a serious injury

https://ria.ru/20210923/tsoy-1751426725.html

“Jinxed”: Anita Tsoi told how she again received a serious injury

” They jinxed “: Anita Tsoi told how she was seriously injured again – RIA Novosti, 09/23/2021

” Jinxed “: Anita Tsoi told how she again received a serious injury

Anita Tsoi revealed how she again received a serious injury. She told about the incident to the correspondent of the Fifth Channel “Secular Chronicle” program.RIA Novosti, 09/23/2021

2021-09-23T11: 56

2021-09-23T11: 56

2021-09-23T11: 56

showbiz

Turkey

Evgeny Plushchenko

Stars Anita Ts

celebrities

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MOSCOW, September 23 – RIA Novosti. Anita Tsoi revealed how she was seriously injured again. She told about the incident to the correspondent of the Fifth Channel “Secular Chronicle” program. According to the artist, she “earned herself a broken foot” while filming a video in Turkey, so the star was in a wheelchair at one of the events. “We have already shot the last shot, and I just changed into ordinary sneakers and decided to walk through that area,” the singer shares the details. She is very worried about what happened, because her tour should begin soon, and Choi cannot let the fans down.”I went to a traumatologist. They give at least six weeks to recover, and I have a show in three and a half weeks,” says Anita. The artist turned to her friend Evgeni Plushenko for help. The athlete shared with her the contacts of doctors. They promised to help her and make Anita recover faster. “They took blood from me and injected plasma into the fracture site. Regeneration and restoration of all tissues will take place,” Tsoi describes the procedure. Celebrities and friends helped. One of them “got hold” a special apparatus for her, which can also speed up her recovery.The cost of the equipment is half a million dollars. “This is a small suitcase, but it costs unrealistic money, which speeds up the splicing of all fabrics by 70 percent,” the artist admitted. This is not Anita’s first injury. She broke her spine twice and was even in car accidents. The singer suggests that envious people may be to blame for her problems. “They jinxed them! I think that a lot of ill-wishers stick needles into dolls!” – reflects the celebrity. Anita received a break in early September.

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Turkey, Evgeny Plushenko, stars, Anita Tsoi, celebrities

“Jinxed”: Anita Tsoi told how she got a serious injury again

MOSCOW, September 23 – RIA Novosti. Anita Tsoi revealed how she was seriously injured again. She told about the incident to the correspondent of the Fifth Channel “Secular Chronicle” program.

According to the artist, she “earned a broken foot” while filming a video in Turkey, so the star was in a wheelchair at one of the events.

“We have already shot the last shot, and I just changed into ordinary sneakers and decided to walk through that area,” the singer shares the details.

She is very worried about what happened, because soon her tour should begin, and Choi cannot let the fans down.

“I went to a traumatologist. They give at least six weeks to recover, and I have a show in three and a half weeks,” says Anita.

The artist turned to her friend Evgeni Plushenko for help. The athlete shared with her the contacts of doctors. They promised to help her and make Anita recover faster.

“They took blood from me and injected plasma into the fracture site. Regeneration and restoration of all tissues will take place,” Tsoi describes the procedure.

Celebrities and friends helped. One of them “got hold” a special apparatus for her, which can also speed up her recovery. The cost of the equipment is half a million dollars.

“This is a small suitcase, but it costs unrealistic money, which speeds up the splicing of all fabrics by 70 percent,” the artist admitted.

This is not Anita’s first injury. She broke her spine twice and was even in car accidents. The singer suggests that envious people may be to blame for her problems.

“They jinxed them! I think that a lot of ill-wishers stick needles into dolls!” – the celebrity reflects.

Anita received the fracture in early September. February 8, 15:19 Showbiz Anita Tsoi told how Viktor Tsoi’s fans wanted to beat her 90,000
A foot X-ray is a painless and affordable diagnostic method that allows you to visualize the bones and joints inside the foot.It is necessary to find out the causes of pain, swelling or deformation resulting from injury or inflammation. An X-ray of the foot allows a traumatologist, rheumatologist or other specialist to diagnose and begin treatment promptly.

The Alfa Health Center in Murmansk invites you to make an X-ray of the foot for a fee, without wasting time on pointless waiting in line. We conduct a reception by appointment: you yourself appoint a convenient time and date of appointment.In the clinic, you can additionally undergo laboratory tests and get a doctor’s advice.

When an X-ray is prescribed

X-ray of the foot bones is performed according to the referral of a traumatologist, orthopedist, endocrinologist or rheumatologist. The study is used to identify signs of systemic diseases, local lesions of bone structures or after trauma. In pediatric practice, an x-ray of the foot allows you to make sure that a child has flat feet.

X-rays are prescribed if a patient complains of:

• pain in the lower extremities;
• a crunch in the joint that occurs during movement;
• swelling or discomfort in the foot.

X-rays are taken after recent surgery to determine the effectiveness of the prescribed therapy. Digital x-ray systems with low radiation exposure allow the examination several times throughout the year, without harm to health.

X-rays are also used when signs of systemic diseases appear. In rheumatology, it makes it possible to diagnose osteoporosis, inflammatory processes in the soft tissues of the foot.In oncology, indications for X-rays of the foot are benign and malignant tumors, as well as metastases.

Contraindications to the procedure

X-rays of the foot are not recommended during pregnancy and lactation. The study is performed if the threat to the health of the mother outweighs the possible risks to the health of the fetus. An X-ray of the foot is not performed in the presence of open wounds and bruising in this anatomical area, as well as in the serious condition of the patient.

The accuracy of the study can be reduced with tremors of the extremities.In this case, you should ask the doctor to fix the foot in a stationary position during the X-ray.

How is the study going

Usually, an X-ray of the foot is performed in 2 projections: frontal and lateral. The study takes no more than 5 minutes, another 10-15 minutes is required to prepare the results and a brief conclusion.

Before taking an X-ray of the foot in two projections, the patient takes off his shoes and metal jewelry. He puts one leg on a special support, and bends the other at the knee: due to the fact that the diseased joint is in slight tension, the picture of the disease will be more accurate.Then the patient rotates the foot to take a picture in a different projection.

Exercise x-rays, dorsal-plantar x-rays, or ankle x-rays may sometimes be done as an additional test. During the diagnostic procedure, the patient’s body is covered with a protective apron, leaving only the anatomical area under study open.

What can be seen in the pictures

An X-ray of the foot shows the condition of the bones, joints and soft tissues, as well as their anatomical location.With its help, you can detect foreign bodies – fragments of glass, metal or bone fragments. The pictures also show tumor and inflammatory processes in the foot area.

X-rays can diagnose arthritis, osteoporosis, gout, osteoarthritis, and other inflammatory or degenerative joint diseases. The pictures show bleeding, fractures, displacement of the joint, foci of inflammation. All this information is used for diagnostic purposes.

Make an X-ray of the foot in Murmansk

Alfa Health Center in Murmansk is a clinic that is part of the federal network of medical centers that has existed for over 12 years.