An Unusual Osteochondral Articular Surface Fracture of Second Metatarsal Head: A Case Report

Temiz, Aytun; Atıcı, Teoman

doi:10.14740/jmc1738w

Cited by 5 publications

(13 citation statements)

References 7 publications

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“…An isolated shear fracture of a metatarsal head in the lesser toes is a rare injury, and few cases have been reported. 1,3,9 All previously reported fracture locations (the second, third, and fourth metatarsal heads) were present in our case series. Fractures usually occur at the second and fourth metatarsal, 1,6,9 which is consistent with the data in our study.…”

Section: Discussionmentioning

confidence: 62%

“…Various fixation techniques and implants have been utilized for treatment of these fractures. 1,4,6,7,9 We stabilized the fractures by 1 or 2 headless compression screws, or 1 screw and a K-wire, according to the size of the dorsal fragment. In addition to ORIF, dorsal wedge osteotomy and osteochondral autograft transplantation have been reported as treatment options.…”

Section: Discussionmentioning

confidence: 99%

“…6 These fractures usually occur at the second or fourth metatarsal. 1,[5][6][7][8][9] However, fractures of the third metatarsal head have also been reported. 3,7 The mechanism of injury is considered to be a result of shear force by the base of the proximal phalanx to the metatarsal head rather than direct impact.…”

Section: Introductionmentioning

confidence: 99%

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Isolated Shear Fracture of the Metatarsal Head in Lesser Toes Treated With ORIF: Case Series

Liu

et al. 2020

Foot Ankle Int.

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Background: Isolated shear fractures of a metatarsal head in the lesser toes are rare in clinical practice. We report the clinical and imaging characteristics, and treatment results, of these fractures. Methods: A retrospective consecutive case-series study was performed on 7 patients with symptomatic isolated shear fracture of a metatarsal head in the lesser toes who were operatively treated using open reduction and internal fixation (ORIF). Radiographs and computed tomographic (CT) scans of the patients were analyzed. The American Orthopaedic Foot & Ankle Society–lesser metatarsophalangeal-interphalangeal (AOFAS-LMI) score, visual analog scale (VAS) score, and passive dorsiflexion range of motion (ROM) of the metatarsophalangeal (MTP) joint were determined preoperatively and at final follow-up. Postoperative complications were also recorded. Results: There were 5 males and 2 females, with a mean age of 21 years (range, 16-36) at the time of surgery. Four fractures occurred at the fourth metatarsal. There were 3 chronic cases, 1 was not diagnosed initially; the other 2 failed conservative treatment. The main symptom of the chronic fractures was limited dorsiflexion at the MTP joint. Preoperative radiographs and CT scans revealed dorsal displacement of the fragment without dislocation of the MTP joint. At the final follow-up (mean, 17.4 months; range 9-27), the AOFAS-LMI scores had improved from 70.6 (range, 59-79) preoperatively to 93.3 (range, 92-100) ( P = .001). VAS scores showed a decrease in pain from 4.0 to 0.0 ( P = .016). Mean passive dorsiflexion ROM of the MTP joint improved significantly from 8.6 degrees preoperatively to 35.7 degrees at final follow-up ( P < .001). All patients returned to their respective preinjury activity levels. Conclusion: Patients with an acute or chronic isolated shear fracture of a metatarsal head in the lesser toes treated by ORIF achieved good short-term clinical and radiologic outcomes. Level of Evidence: Level IV, retrospective case series.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

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Isolated Shear Fracture of the Metatarsal Head in Lesser Toes Treated With ORIF: Case Series

Liu

et al. 2020

Foot Ankle Int.

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“…The failure of blood supply can eventually lead to avascular necrosis. Tanaka et al ,2 Temiz et al 14 and Liddle et al 11 performed open reduction of the fracture fragment. In the current case, we also performed open reduction of the fracture with careful handling of neurovascular structures.…”

Section: Discussionmentioning

confidence: 99%

“…Several operative techniques and implant types have been used for such second MT head fractures. Temiz et al 14 used 18 mm headless compression screw for fixation. Liddle et al 11 used two, 2.0 mm screws.…”

Section: Discussionmentioning

confidence: 99%

Unusual osteochondral fracture of the second metatarsal head in a paediatric patient treated with bioabsorbable pin

2021

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Osteochondral second metatarsal head fractures are rare. Various management options have been described in the published literature. We used bioabsorbable pin (Activa Pin) system for our case of second metatarsal head fracture. This method not only achieves good compressive fixation, it also eliminates the risk of implant-related issues such as implant irritation. To our knowledge, no such paediatric case managed with this technique has been published in the literature.

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Closed second metatarsal head intra-articular fractures: Case series and review of literature

Katzir,

Pollack,

Haze

et al. 2023

Foot & Ankle Surgery: Techniques, Reports & Cases

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An Unusual Osteochondral Articular Surface Fracture of Second Metatarsal Head: A Case Report

Cited by 5 publications

References 7 publications

Isolated Shear Fracture of the Metatarsal Head in Lesser Toes Treated With ORIF: Case Series

Isolated Shear Fracture of the Metatarsal Head in Lesser Toes Treated With ORIF: Case Series

Unusual osteochondral fracture of the second metatarsal head in a paediatric patient treated with bioabsorbable pin

Closed second metatarsal head intra-articular fractures: Case series and review of literature

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