&Metatarsal Stress Fracture=This type of injury is seen in runners of all levels, as well as ballet dancers and gymnasts as well as patients with rheumatoid arthritis (RA), metabolic bone disease, and neuropathic conditions. The second and third metatarsals are relatively fixed in position within the foot. More stress is placed on the second and third metatarsals during ambulation; thus, these bones are at increased risk for stress fractures. The fifth metatarsal, bears greater stress in those who oversupinate when they walk or run. The fifth metatarsal also has a diminished blood supply and, thus, a decreased ability to heal. Initially, dull pain only occurs with exercise, then the condition progresses to pain at rest. Pain starts diffusely, then localizes to the site of the fracture. Menstrual irregularities should be explored in female patients due to a high association between female athletics, amenorrhea, and osteoporosis Ñ otherwise known as the female athletic triad.