The introduction of carbon fiber plate footwear has led to performance benefits in runners. The mechanism for these changes in running economy includes altered biomechanics of the foot and ankle. The association of this footwear with injuries has been a topic of debate clinically, but not described in the literature. In this Current Opinion article, illustrated by a case series of five navicular bone stress injuries in highly competitive running athletes, we discuss the development of running-related injuries in association with the use of carbon fiber plate footwear. While the performance benefits of this footwear are considerable, sports medicine providers should consider injuries possibly related to altered biomechanical demands affecting athletes who use carbon fiber plate footwear. Given the introduction of carbon fiber plate footwear into athletics and other endurance sports, strategies may be required to reduce risk of injury due to altered foot and ankle mechanics. This article is intended (1) to raise awareness on possible health concerns around the use of carbon fiber plate footwear, (2) to suggest a slow gradual transition from habitual to carbon fiber plate footwear, and (3) to foster medical research related to carbon fiber plate technology and injuries.

碳纤维板鞋的推出为跑步者带来了性能优势。跑步经济性的这些变化的机制包括足部和脚踝生物力学的改变。这种鞋与损伤的关联一直是临床上争论的话题，但文献中没有描述。在这篇《当前观点》文章中，通过高竞技跑步运动员的五个舟骨应力损伤的系列病例进行说明，我们讨论了与碳纤维板鞋的使用相关的跑步相关损伤的发展。虽然这种鞋的性能优势相当大，但运动医学提供者应该考虑可能与影响使用碳纤维板鞋的运动员的生物力学需求改变有关的伤害。鉴于将碳纤维板鞋引入田径和其他耐力运动中，可能需要采取策略来降低因足部和脚踝力学改变而受伤的风险。本文的目的是 (1) 提高人们对使用碳纤维板鞋可能存在的健康问题的认识，(2) 建议从习惯鞋慢慢过渡到碳纤维板鞋，以及 (3) 促进与碳纤维板鞋相关的医学研究碳纤维板技术与伤病。