Cover Journal of the American Podiatric Medical Association
Journal of the American Podiatric Medical Association
ISSN:
8750-7315
  • 1

    Mann RA: Disorders of the first metatarsophalangeal joint. .J Am Acad Orthop Surg 3::34. ,1995. .

  • 2

    Meyerding HW, Pollock GA: March fracture. .Surg Gynecol Obstet 67::234. ,1938. .

  • 3

    Cleveland M, Winant EM: An end-result study of the Keller operation. .J Bone Joint Surg Am 32::163. ,1950. .

  • 4

    Michetti ML: March fracture following a McBride bunionectomy: a case report. .JAPA 60::286. ,1970. .

  • 5

    Ford LT, Gilula LA: Stress fractures of the middle metatarsals following the Keller operation. .J Bone Joint Surg Am 59::117. ,1977. .

  • 6

    Battey MA: The lesser metatarsal stress fracture as a complication of the Keller procedure. .JAPA 70::182. ,1980. .

  • 7

    Zechman JS: Stress fracture of the second metatarsal after Keller bunionectomy. .J Foot Surg 23::63. ,1984. .

  • 8

    Danon G, Pokrassa M: An unusual complication of the Keller bunionectomy: spontaneous stress fractures of all lesser metatarsals. .J Foot Surg 28::335. ,1989. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9

    Crotty JG, Berlin SJ, Donick II: Stress fracture of the first metatarsal after Keller bunionectomy. .J Foot Surg 28::516. ,1989. .

  • 10

    Wilson JN: Oblique displacement osteotomy for hallux valgus. .J Bone Joint Surg Br 45::552. ,1963. .

  • 11

    Worthen BM, Yanklowitz BA: The pathophysiology and treatment of stress fractures in military personnel. .JAPA 68::317. ,1978. .

  • 12

    Marray RO, Stoker DJ: “Skeletal Trauma: General Considerations,” in A Textbook of Radiology and Imaging, Vol 1, ed by D Sutton, p 264, Churchill Livingstone, New York. ,1987. .

    • PubMed
    • Export Citation
  • 13

    LaPorta GA, Pilla P Jr, Richter KP: Keller implant procedure: a report of 356 procedures using a Silastic intramedullary stemmed implant. .JAPA 66::126. ,1976. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14

    Hutton WC, Dhanendran M: The mechanics of normal and hallux valgus feet: a quantitative study. .Clin Orthop 157::7. ,1981. .

  • 15

    Schenck RC Jr, Heckman JD: Fractures and dislocations of the forefoot: operative and nonoperative treatment. .J Am Acad Orthop Surg 3::70. ,1995. .

Article Type:
Clinically Speaking
Online Publication Date:
Jan 2006

Stress Fractures of the Lesser Metatarsals After a Wilson Osteotomy for Correction of Hallux Valgus Deformity

John M. Kirkos Third Orthopaedic Department, Aristotle University of Thessaloniki, “Papageorgiou” General Hospital, Thessaloniki, Greece.

Search for other papers by John M. Kirkos in
Current site
Google Scholar
PubMed Close
 MD
,
Margaritis J. Kyrkos Third Orthopaedic Department, Aristotle University of Thessaloniki, “Papageorgiou” General Hospital, Thessaloniki, Greece.

Search for other papers by Margaritis J. Kyrkos in
Current site
Google Scholar
PubMed Close
 MD
, and
George A. Kapetanos Third Orthopaedic Department, Aristotle University of Thessaloniki, “Papageorgiou” General Hospital, Thessaloniki, Greece.

Search for other papers by George A. Kapetanos in
Current site
Google Scholar
PubMed Close
 MD
DOI:
https://doi.org/10.7547/0960063
Restricted access
Copyright Permission Requests
USD  $35.00
Click here to view the full Terms and Conditions

This article describes a patient with lesser-metatarsal stress fractures resulting from an oblique Wilson displacement first metatarsal osteotomy. The shortening of the first metatarsal forces the lesser metatarsals to bear the weight previously borne by the first ray and increases the compression stress on the adjacent metatarsal heads. The proximal displacement of the osteotomy must be minimized in order to limit the risk of stress fracture of the lesser metatarsals. (J Am Podiatr Med Assoc 96(1): 63–66, 2006)

Corresponding author: Margaritis J. Kyrkos, MD, Research Fellow in Orthopaedic Surgery, 138, Al. Papanastasiou St, 542 49 Thessaloniki, Greece.
Save