A stress fracture is a focal failure of bone induced by the summation of repetitive forces which overwhelms the normal bone remodeling cycle this review the first of two parts discusses the general principles of stress fractures of the foot and ankle this includes bone structure biomechanics of stress applied to bone bone remodeling risk factors for stress fracture and general principles of imaging and treatment of stress fractures cortical bone and trabecular bone have a . Manual of fracture management foot and ankle 1st edition pdf is a practical hands on manual for surgeons of all levels on the management of foot and ankle trauma ao manual of fracture management foot and ankle the approaches are presented in a systematic case based format ranging from simple to more complex cases. Open fractures of the foot and ankle sexton se1 author information 1department of surgery lehigh valley hospital vsas orthopaedics 1250 south cedar crest boulevard allentown pa 18103 usa electronic address bbsloane2excitecom open fractures of the lower extremity cover a wide gamut of injuries ranging from the mangled pulseless leg necessitating amputation to the more . There are numerous stress fractures about the foot and ankle of which a trauma and orthopaedic surgeon should be aware these include metatarsal tibia calcaneus navicular fibula talus medial malleolus sesamoid cuneiform and cuboid