JBJS | Current Management of Tarsometatarsal Injuries in the Athlete

The Journal of Bone & Joint Surgery, Volume 90, Issue 11

Selected Instructional Course Lecture | November 01, 2008

Current Management of Tarsometatarsal Injuries in the Athlete

Mark S. Myerson, MD¹; Rebecca A. Cerrato, MD¹

¹ The Institute for Foot and Ankle Reconstruction at Mercy, 301 St. Paul Place, Baltimore, MD 21202. E-mail address for R.A. Cerrato: boohinck2@yahoo.com

The Journal of Bone & Joint Surgery. 2008; 90:2522-2533

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Current management of injuries to the tarsometatarsal complex depends on the type and mechanism of the injury, the forces involved, whether the injury is high or low-energy, and whether it occurred in an athlete. Foot and ankle injuries are some of the more common injuries in athletes, with foot injuries accounting for 16% of all sports-related injuries¹. Certain athletes are at higher risk. Midfoot sprains occur in 4% of football players per year, with offensive linemen incurring 29.2% of these injuries². Tarsometatarsal injuries in athletes are distinctly different from those due to high-energy trauma. Athletes tend to have subtle clinical and radiographic findings, and a high index of suspicion is necessary to recognize and diagnose these injuries appropriately. A wide spectrum of injuries to the tarsometatarsal and associated interrelated joints is now recognized. Treatment concepts have evolved over the past decade, with use of more rigid forms of fixation and, most importantly for the athlete, intensive rehabilitation.

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Topics

metatarsal bone ; midfoot ; athlete ; foot ; tarsometatarsal joint ; dislocations ; arthrodesis ; sprains and strains ; fracture ; weight-bearing

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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