This article has been reviewed according to Science X's editorial process and policies. Editors have highlighted the following attributes while ensuring the content's credibility:



Recognizing the potential for bone stress injuries after using carbon fiber plate footwear

Recognizing the potential for bone stress injuries after using carbon fiber plate footwear
Lateral X-ray of a runner's left foot in a carbon-plated running shoe. Red arrows outline the embedded plate. The green arrow shows the fulcrum point of the plate. Note the relation of the curvature of the plate to the metatarsal locations (metatarsal phalangeal joints). Credit: Sports Medicine (2023). DOI: 10.1007/s40279-023-01818-z

Millions of endurance runners use footwear that has an embedded carbon fiber plate (CFP) in the midsole. While the performance benefits that carbon fiber plate footwear offers have been well documented, little has been published about running injuries related to use of this footwear. In a current opinion piece published today in the journal Sports Medicine, authors describe five cases in which runners using carbon fiber plate footwear sustained bone stress injuries.

"While I understand the excitement, we need to consider how to prevent injuries when adopt this new footwear," said lead author Adam Tenforde, MD, physician in Mass General Brigham's Sports medicine program and medical director of the Spaulding National Running Center. "We hope this current opinion helps to guide better recognition of potential medical issues related to CFP footwear, appropriate use of this new technology, and how to advance methods to safely use these shoes."

In their publication, Tenforde and colleagues describe five patient cases, including junior elite track and field athletes in Europe and two athletes in their mid-30s who competed in endurance events in North America. All five experienced foot pain after using carbon fiber plate footwear and were later diagnosed with navicular bone stress injuries (BSI).

"Recognizing possible associations of navicular BSI in runners presenting with vague midfoot or ankle pain who use CFP may be important to identify this high-risk ," the authors write.

More information: Adam Tenforde et al, Bone Stress Injuries in Runners Using Carbon Fiber Plate Footwear, Sports Medicine (2023). DOI: 10.1007/s40279-023-01818-z

Provided by Mass General Brigham
Citation: Recognizing the potential for bone stress injuries after using carbon fiber plate footwear (2023, February 13) retrieved 24 June 2024 from
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Explore further

Who is and isn't suited to barefoot running? And if I want to try, how do I start?


Feedback to editors