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While the balance of running injury literature in the past 30 years assumes a rearfoot strike pattern while wearing traditional shoes, one recent case series detailed 2 marathon runners who sustained metatarsal stress fractures running in barefoot-simulating footwear reportedly adopting a more anterior footstrike.
In a sample of 20 high arched runners, Williams et al observed more bony injuries and lateral injuries in the lower extremities (ie, 5th metatarsal stress fractures, lateral ankle sprains, and iliotibial band syndrome).
Epidemiology of metatarsal stress fractures versus tibial and femoral stress fractures during elite training.