Patient 42 year old male, non-smoker, weight 47kg, height 1.63m
18 May 2019, playing street football with inappropriate footwear
Lost balance and twisted foot in shoe
Pain felt on putting weight on foot, no cuts or abrasions
Presented with swelling and internal bruising the following day
Managed to fly from East London to Johannesburg
Presented at Groenkloof Hospital in Pretoria on 19 May 2019
Diagnosis 3rd metatarsal spiral fracture
Since no improvement after 8 weeks
Patient seeked 3rd opinion from Sports Medicine Physician
Vitamin D-25 = 27ng/mL
Started taking Vitamin-D supplements 1000IU/day
3 treatments of extracorporeal shock wave therapy administered during late July 2019
Also stopped using moonboot continuously and started with running shoes around 5 August 2019 - especially when safe to do so at home
after 26 august No More MoonBoot
Started Physiotherapy sessions - completed five sessions over 3 weeks to strengthen foot
Exercises on foot continued for another 3 weeks
Started with orbital walker in gym and moved to rowing around October 2019
Started Jogging short distances of ~2km per week by start November 2019
Undertook 2 overseas trips during October and November 2019
Негізгі бет Evolution of a 3rd Metatarsal Foot Fracture
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