Overuse syndrome at base of second metatarsal

Overuse syndrome at base of second metatarsal

Common in ballet dances – en pointe increases retrograde forces along shaft of second metatarsal.

Thought to be due to a synovitis of the second tarsometatarsal joint.

Clinical features:
Midfoot pain – worse during dancing (especially en pointe and jumps); onset may be gradual or sudden

Differential diagnosis – stress fracture of base of second metatarsal;

Treatment:
Activity modification; avoidance of pointe work;