Abstract
With the advent of the Second World War there has been a decided increase in the incidence of march fracture. One may expect to encounter this lesion wherever armed forces are on the march or are undergoing extensive physical training. This is particularly true if the troops are recent recruits and if there is a weight-bearing overload due to heavy packs. As pointed out by Camp and McCullough (7), march fracture is an example of pseudofracture and may occur in a diseased bone or in a bone subjected to excessive strain. In addition to the metatarsal, the bones involved are likely to be the tibia, femur, pelvis, ribs, radius, and ulna; less frequently these fractures may occur in other parts of the skeletal system. In so far as the foot is concerned, march fracture may be defined as a painful edematous swelling of the forefoot, insidious in onset and associated with an often unsuspected fracture of a metatarsal. Breithaupt (4), a Prussian military surgeon, first called attention to this entity in 1855. He n...
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