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Selected Instructional Course Lecture   |    
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
View Disclosures and Other Information
Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy's Annual Meeting, will be available in February 2009 in Instructional Course Lectures, Volume 58. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.
An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2008 Nov 01;90(11):2522-2533
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Extract

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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    Accreditation Statement
    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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