Rugby Injuries, Rugby Injury
Sports Injuries
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Ankle & Foot
Sprained Ankle
Lisfranc Joint Injury
Metatarsal Fracture
Heel Pain
Calf & Shin
Achiiles Pain
Calf Muscle Strain
Shin Splints
Broken Leg
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ACL Knee Injury
MCL Knee Injury
LCL Knee Injury
Torn Cartlidge
Illiotibial Band Injury
Patella Fracture
Hip & Thigh
Hamstring Strain
Thigh Muscle Strain
Facet Syndrome
Slipped Disc
Sprained Thumb
Fracture of Thumb
Broken Neck
Slipped Disc
Acromio Clavicular Joint Sprain
Rotator Cuff Injury
Dislocated Shoulder
Broken Collar Bone
Rugby Pitch
Metatarsal Fractures & Rugby



Metatarsal Fractures & Rugby


Metatarsal Fractures Explained

One of the most common injuries in rugby is the metatarsal fracture. This kind of injury has been very common in the history of rugby. Several high- profiled rugby players have suffered from the same injury- England flanker Tom Rees, All Black Mils Muliaina and England centre Mike Tindall. The anatomy of the foot will however help us to understand this injury better and deeper.

Metatarsal bones are long and slender bones found in between the Tarsal bone and the Phalanges. There are 5 Metatarsal bones in each foot. These bones perform as a rigid lever for the forward propulsion of the ankle and the foot. The metatarsals also act like a flexible structure which helps with balance and holding up the entire body.

Metatarsal fractures are caused by direct trauma, overuse and excessive rotation (sudden twisting with the ball). Bone injuries like this are very common since there is very little soft tissue that protects the top of the foot. Rugby players in a ruck or stamping on the foot can often produce this type of injury.

Four anatomic segments divide the fifth metatarsal. These are the base, the junction, the shaft, and the neck. Several fractures can be made out of these segments.

Fracture of the fifth metatarsal is the most common rugby metatarsal injuries. This can often occur by excessive twisting of the ankle. In most cases this type of fracture doesn't need to be surgically repaired. Walking immediately in a removable plastic cast is usually advised.

Metatarsal fractures can be caused by overuse. This is common in new younger rugby players or players that play a hard gruelling season with little or no rest. A stress fracture will eventually turn into a full fracture when the pain in the foot region worsens. The stress fracture of the 2nd metatarsal heals well while the healing of the stress fracture of the 5th metatarsal can be quite problematic.

How Do We Know Its Metatarsal Fracture?

The player should visit the emergency room as soon as possible for treatment if a metatarsal fracture is suspected. The doctor will confirm the diagnosis with an X-ray. Ice therapy can be beneficial in dealing with pain and pain medications are necessary.

The terminal treatment for this injury varies on the type and condition of the fracture. Alignment and treatment with an immobilization cast is greatly appreciated in fractures caused by direct trauma.

A removable plastic cast is used for stress fractures of the 2nd metatarsal and rotational fracture of the 5th metatarsal. However, many orthopaedist advocate surgical repair of the fracture. This method will allow the patient to resume rugby possibly after 6 weeks. Surgical repairing is usually recommended for stress fractures and when there is a widening fracture line with complete obliteration of the medullary canal (this is the cavity containing bone marrow in the long part of a metatarsal) at the fractures site.

The Aircast Walker features a lightweight removable plastic cast with a durable, semi-rigid shell which provides far greater protection compared to a conventional plaster cast.


View the aircast walker


In most cases rugby players suffer from a type 1 fracture, which is classified as a fracture line with sharp margins and no widening of the fracture. Minimal evidence of periosteal reaction to chronic stress. A periosteal reaction is the formation of new bone in response to injury. Treatment involves a non weight bearing cast for 6-8 weeks or walking boot.


How Do We Prevent Metatarsal Fractures?

Very little can be done to prevent this kind of injury especially when force is applied to the foot during a rugby game. Yet, it is very necessary to wear suitable footwear to provide protection to the foot.




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