Fracture of the Proximal Fifth Metatarsal

被引:44
作者
Den Hartog, Bryan D. [1 ,2 ]
机构
[1] Black Hills Orthoped & Spine Ctr, Rapid City, SD 57702 USA
[2] Univ S Dakota, Sch Med, Sioux Falls, SD USA
关键词
INTRAMEDULLARY SCREW FIXATION; 5TH METATARSAL DISTAL; JONES-FRACTURE; SURGICAL-MANAGEMENT; BASE; TUBEROSITY; BONE;
D O I
10.5435/00124635-200907000-00006
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
Acute fracture and nonunion of the proximal fifth metatarsal are difficult injuries to manage. The ability to distinguish the three distinct fracture patterns (ie, tuberosity, Jones, diaphyseal stress) is important because each has its own mechanism of injury, location, treatment options, and prognosis for healing. Tuberosity fractures, true acute Jones fractures, and Torg type I diaphyseal stress fractures have a high rate of union with nonsurgical management. However, primary surgical intervention with an intramedullary screw andJor inlay corticocancellous bone graft is the preferred treatment for acute Jones fracture in the athlete, delayedunion or nonunion of Jones fracture in the nonathlete and athlete, and Torg type II and III fracture14. Copyright 2009 by the American Academy of Orthopaedic Surgeons.
引用
收藏
页码:458 / 464
页数:7
相关论文
共 25 条
[1]
Carp L, 1927, ANN SURG, V86, P308, DOI 10.1097/00000658-192708000-00020
[2]
CLAPPER MF, 1995, CLIN ORTHOP RELAT R, P238
[3]
Dameron Jr, 1995, J Am Acad Orthop Surg, V3, P110
[4]
DAMERON TB, 1975, J BONE JOINT SURG AM, V57, P788
[5]
STRESS-FRACTURE OF THE 5TH METATARSAL [J].
DELEE, JC ;
EVANS, JP ;
JULIAN, J .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1983, 11 (05) :349-353
[6]
Risk of sural nerve injury with intramedullary screw fixation of fifth metatarsal fractures: A cadaver study [J].
Donley, BG ;
McCollum, MJ ;
Murphy, GA ;
Richardson, EG .
FOOT & ANKLE INTERNATIONAL, 1999, 20 (03) :182-184
[7]
Analysis of failed surgical management of fractures of the base of the fifth metatarsal distal to the tuberosity: The Jones fracture [J].
Glasgow, MT ;
Naranja, RJ ;
Glasgow, SG ;
Torg, JS .
FOOT & ANKLE INTERNATIONAL, 1996, 17 (08) :449-457
[8]
TREATMENT OF DELAYED UNIONS AND NONUNIONS OF THE PROXIMAL 34TH METATARSAL WITH PULSED ELECTROMAGNETIC-FIELDS [J].
HOLMES, GB .
FOOT & ANKLE INTERNATIONAL, 1994, 15 (10) :552-556
[9]
Jones R, 1902, ANN SURG, V35, P697
[10]
JOSEFSSON PO, 1994, CLIN ORTHOP RELAT R, P252