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EPISODE · Mar 28, 2026 · 12 MIN

Fracture Overview

from BIPEDAL · host Robert Weinstein, DPM, FACFAS

Approximately 10% of all fractures in the human body occur in the foot and ankle. It is a load bearing, highly stressed region of the body whereby forces are continuously being applied. Move the foot suddenly in the wrong direction, and these forces can overwhelm the ability of the bones to stay intact. However, all injuries resulting in fractures do not have to be the result of sudden movement or significant force. Repeated cyclic stress such as when training or carrying heavy loads may result in a type of fracture pattern as well.  Understanding the mechanism of injury is crucial in fracture evaluation and management. Because fractures follow patterns, skilled clinical evaluation can determine whether straightforward conservative management is appropriate, or more intensive surgical repair is required. Factors such as patient age, activity level, biologic capacity for healing, and even adequate blood flow all become part of a clinical picture that dictates methods of treatment.  I am taking a broad look at this type of injury in Season 1 to lay the foundation for future discussions. Next season we will begin to explore more in depth surgical topics including specific fracture scenarios that we treat.  The content of this podcast is for educational and informational purposes only and does not constitute medical advice. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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The foot is subject to load and stress with every step you take. Naturally then it is subject to forces that may be greater than the bones can bear, resulting in 'fracture,' or failure of the bone to stay integral. There are countless ways foot fractures can occur, but generally injuries can be a result of low energy, high energy, or repetitive stress forces. I will cover these and more while we broadly discuss foot fracture assessment.

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