AOSSM 2023 Annual Meeting Recordings no CME-Management of Forefoot Pathology in the High-Level Athlete

Management of Forefoot Pathology in the High-Level Athlete

Video Transcription

Video Summary

The video discusses various forefoot pathologies and their management in high-level athletes. The most common injury seen in athletes is metatarsal stress injuries, which often require operative intervention. Diagnosis relies on advanced imaging, and management is primarily symptom-based. Immobilization and non-weight-bearing protocols should be avoided for prolonged periods. Fifth metatarsal stress injuries, or Jones fractures, require operative intervention due to a high non-union rate. Intramedullary screws are the preferred technique, but plantar lateral plating may be considered in certain cases. Bone grafting is an option for Torg type 2 or 3 injuries. Returning to sport after surgery is achievable but carries a risk of refracture. Failure of initial surgery may require revision with improvements in implant choice or position. Other forefoot pathologies covered include tuberosity fractures, plantar plate injuries, sesamoiditis, and Freiberg disease. Treatment options and rehabilitation protocols are discussed for each condition.

Asset Caption

Kyle Duchman, MD

Keywords

forefoot pathologies

metatarsal stress injuries

operative intervention

advanced imaging

symptom-based management