A stress fracture is a break in the bone that happens with repeated injury or stress
Aetiology
May occur in runners, in soldiers on prolonged marches, in dancers or during distance walking in people not conditioned or used to prolonged walks
Most commonly occur in 2nd metatarsal, followed by 3rd
Investigations
X-ray - AP and oblique views
X-rays may not demonstrate a fracture for around 3 weeks until resorption at the fracture ends occurs or callus begins to appear so a bone scan may be useful to confirm the diagnosis
Management
Prolonged rest for 6‐12 weeks in a rigid soled boot is required to allow healing and resolution of symptoms
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