JONES FRACTURES AND RELATED FRACTURES OF THE PROXIMAL 5TH METATARSAL

被引:216
作者
LAWRENCE, SJ [1 ]
BOTTE, MJ [1 ]
机构
[1] UNIV CALIF SAN DIEGO,MED CTR,DEPT ORTHOPAED SURG 8894,225 DICKINSON ST,SAN DIEGO,CA 92103
来源
FOOT & ANKLE | 1993年 / 14卷 / 06期
关键词
D O I
10.1177/107110079301400610
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
摘要
At least three fracture types occur in the proximal fifth metatarsal: the Jones' fracture, the proximal diaphysial stress fracture, and the tuberosity avulsion fracture. Each has distinct characteristics. The diaphysial stress fracture is commonly confused with the Jones' fracture, thereby obscuring vital differences in prognosis and treatment. Anatomical and biomechanical characteristics, as well as vascular studies of the proximal portion of the fifth metatarsal, are discussed in an attempt to better understand their diverse healing potentials. Guidelines for treatment are controversial, and must frequently be individualized. Although surgical intervention for certain proximal fifth metatarsal fracture types may speed recovery time, most fractures heal with immobilization. Treatment of displaced, intra-articular fractures, delayed unions, and nonunions usually requires operative methods.
引用
收藏
页码:358 / 365
页数:8
相关论文
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