Initial Experience with Subchondral Stabilization for Grade II Stress Fractures of the Midfoot and Forefoot

Stress fractures of the foot are often preceded by MRI evidence of bone marrow edema. While new evidence suggests intraosseous injection of calcium phosphate ( “subchondral stabilization”) can alleviate symptoms associated with bone marrow edema, no data yet exists regarding its use in developing mid- and forefoot stress fractures.Fifty-four patients who underwent subchondral stabilization of various midfoot/forefoot bones in our practice were observed over a five-year period. All patients were unresponsive to standard nonoperative measures for at least 6 weeks, and all had clinical exams and advanced imaging consistent with a Kaeding-Miller Grade II stress fracture.

Source: Journal of Foot and Ankle Surgery - June 7, 2023 Category: Orthopaedics Authors: Michael Matthews, Erin Klein, Lowell Weil, Matthew Sorensen, Adam Fleischer Tags: Original Research Source Type: research