Stress Fracture Cuneiform

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Stress Fracture Cuneiform

The cuneiform is a small bone in the midfoot, a stress fracture is like a small crack in the bone. Stress fractures in the foot and ankle can affect athletes of all levels (Mayer et al., 2014).


Function:

The cuneiform is part of the tarsals of the human foot, building the midfoot.

 

Common reasons:

This can result from an imbalance between bone formation and bone resorption. When the cuneiform is loaded (running /jumping), it responds by increasing bone turnover.  If new bone formation cannot keep up with bone resorption, areas of weakness can develop within the cuneiform and can develop into a stress fracture if the bone is continually loaded. Female athletes can be more prone to stress fractures due to changes in diet and change in menstrual cycle.

 

Treatment:

Training principles, footwear and biomechanics should be analysed in the treatment of this injury; off loading and resting to let the fracture heal properly is essential.

 

References:

Mayer S.W. et al., 2014, Stress Fractures in the Foot and Ankle in Athletes, Sports Health, 6(6); pp: 481-491

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