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"March foot" or "march fracture" is a term applied to a painful condition of the foot first noted in army men following prolonged marches. It was thought to be caused originally by an inflammation of the tendon sheaths, but since the turn of the century opinion has favored the existence of a fracture. Some reports hold that a fracture visible or invisible by x-rays is present from the start. Others speak of a periostitis first, followed by a fracture line developing later. For the most part this condition has been noted in the second, third and fourth metatarsal bones, but the more recent literature has been reporting a few cases of a similar condition occurring in other bones, especially the fibula. Our purpose in this paper is to add 6 such cases and 1 of the foot appearing in athletes at Princeton University. The University Health Service has maintained medical

Dew and Wooten122present a series of 58 march fractures of the metatarsal bones involving 55 trainees. The majority of patients failed to disclose any preexisting pathologic condition of the feet. March fractures are attributable to the carrying of heavy full field equipment and marching of distances longer than 6 miles (9.6 km.) on a hard surfaced road. Local treatment of mild fractures consists in the use of an ice bag for seventy-two hours, a whirlpool bag, a daily massage and crutches; moderate weight bearing within pain limit is allowed. Splinting of any form is not advised because of the ensuing stiffness of the foot and the increasing morbidity. The prophylactic measures advanced by the authors have materially lowered the high incidences of march fracture. They recommend gradual lengthening of the march, progressive increase of field equipment and, what is most important, marching on the soft shoulders of the