{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:19:13Z","timestamp":1787753953995,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 33-year-old healthy male ballet dancer presented with acute dorsal forefoot pain and swelling after rehearsal without antecedent trauma. CT demonstrated an isolated dorsally displaced, intra-articular osteochondral fracture of the third metatarsal head, a rare injury. The fragment was anatomically reduced and fixed with a 2.4 mm compression pin. Postoperatively, the patient underwent protected weight-bearing, early range-of-motion, and delayed push-off for 6 weeks, followed by rehabilitation. At 8 months, he was pain-free with full motion and returned to unrestricted dance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case underscores the rarity of isolated third metatarsal head osteochondral fractures and highlights intraoperative features that aid accurate identification and anatomic reduction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00593","type":"journal-article","created":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T18:03:53Z","timestamp":1776362633000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Isolated Retroverted Osteochondral Fracture of the Third Metatarsal Head in an Adult Ballet Dancer"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5881-8986","authenticated-orcid":false,"given":"Moamen","family":"Elhaddad","sequence":"first","affiliation":[{"name":"Department of Podiatric Foot and Ankle Surgery, Cedars-Sinai Medical Center, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3694-1383","authenticated-orcid":false,"given":"Alexander","family":"Carrillo-Kashani","sequence":"additional","affiliation":[{"name":"Department of Podiatric Foot and Ankle Surgery, Cedars-Sinai Medical Center, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0253-8413","authenticated-orcid":false,"given":"David J.","family":"Soomekh","sequence":"additional","affiliation":[{"name":"Department of Podiatric Foot and Ankle Surgery, Cedars-Sinai Medical Center, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4]]},"reference":[{"issue":"10","key":"bib1-20260416","first-page":"e30637","article-title":"Acute osteochondral fracture of the metatarsal head: a report of two cases and review of literature","volume":"14","author":"Missaoui","year":"2022","journal-title":"Cureus."},{"issue":"1","key":"bib3-20260416","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/0958-2592(95)90036-5","article-title":"An unusual osteochondral fracture of the second metatarsal head","volume":"5","author":"Tanaka","year":"1995","journal-title":"The Foot."},{"issue":"4","key":"bib4-20260416","first-page":"176","article-title":"Isolated slipped-retroverted osteochondral fracture of the second metatarsal head","volume":"23","author":"Atik","year":"2013","journal-title":"Foot (Edinburgh, Scotland)."},{"issue":"1","key":"bib5-20260416","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1177\/107110078901000109","article-title":"Fracture-dislocation of the articular surface of the third metatarsal head","volume":"10","author":"Dutkowsky","year":"1989","journal-title":"Foot Ankle."},{"issue":"2","key":"bib6-20260416","doi-asserted-by":"crossref","first-page":"e40","DOI":"10.1016\/j.fas.2015.01.011","article-title":"Isolated osteochondral fracture of the metatarsal head of lesser toes","volume":"21","author":"Lui","year":"2015","journal-title":"Foot Ankle Surg."},{"issue":"4","key":"bib7-20260416","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1053\/j.jfas.2007.02.003","article-title":"Osteochondral fracture of the fourth metatarsal head treated by open reduction and internal fixation","volume":"46","author":"Mereddy","year":"2007","journal-title":"J Foot Ankle Surg."},{"issue":"10","key":"bib8-20260416","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.3113\/FAI.2008.1054","article-title":"Locked second metatarsal head fracture: a case report","volume":"29","author":"Liddle","year":"2008","journal-title":"Foot Ankle Int."},{"issue":"6","key":"bib9-20260416","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1177\/1938640016630064","article-title":"An isolated chronic osteochondral fracture of the third metatarsal head treated with bioabsorbable pins: a case report","volume":"9","author":"Kurashige","year":"2016","journal-title":"Foot Ankle Spec."},{"key":"bib10-20260416","first-page":"25839","article-title":"Isolated acute osteochondral fracture of the second metatarsal head: an uncommon fracture - case report and literature review","volume":"33","author":"Oliveira","year":"2021","journal-title":"Biomed J Sci Tech Res."},{"issue":"6","key":"bib11-20260416","doi-asserted-by":"crossref","first-page":"251","DOI":"10.14740\/jmc1738w","article-title":"An unusual osteochondral articular surface fracture of the second metatarsal head: a case report","volume":"6","author":"Temiz","year":"2015","journal-title":"J Med Cases."},{"issue":"6","key":"bib12-20260416","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1177\/107110070202300604","article-title":"The arterial supply of the lesser metatarsal heads: a vascular injection study in human cadavers","volume":"23","author":"Petersen","year":"2002","journal-title":"Foot Ankle Int."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00593","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:21:31Z","timestamp":1787750491000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00593"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":11,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.25.00593","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]}}}