Fifth metatarsal fractures and current treatment

Bowes, Julia; Buckley, Richard

doi:10.5312/wjo.v7.i12.793

Cited by 50 publications

(53 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…16). 78 Operative fixation may also be considered for athletes with immediate stabilization and earlier return to play. Fifth metatarsal proximal diaphysis stress fractures typically do not heal well secondary to poor blood supply.…”

Section: Forefoot Fracturesmentioning

confidence: 99%

Radiologic Evaluation of Lower Leg, Ankle, and Foot Fracture Fixation Hardware

Mar

Schilling

Lomasney

et al. 2019

Semin Musculoskelet Radiol

View full text Add to dashboard Cite

Radiologists should be familiar with basic principles of fracture fixation and the normal imaging appearances of implant constructs and their complications. The surgeon's selection of external fixation, intramedullary nail fixation, open reduction and internal fixation, or some combination depends on patient factors, fracture configuration, injury to the soft tissue envelope, and surgeon experience. Complications including loss of fixation with resultant malalignment, nonunion, infection, and posttraumatic osteoarthritis present additional challenges for the surgeon as well as the radiologist. This article reviews the rationale behind fracture fixation in fractures of the lower leg, ankle, and foot. Examples of postoperative complications are also reviewed.

show abstract

Section: Forefoot Fracturesmentioning

confidence: 99%

Radiologic Evaluation of Lower Leg, Ankle, and Foot Fracture Fixation Hardware

Mar

Schilling

Lomasney

et al. 2019

Semin Musculoskelet Radiol

View full text Add to dashboard Cite

show abstract

“…La elección del tratamiento no quirúrgico se debe basar en el paciente y el tipo de fractura individual 25 . El tratamiento conservador se asocia, por lo general, con tiempos de curación ósea más largos, aunque evita los riesgos y las molestias de una cirugía 20,26,27 .…”

Section: Tratamiento Conservadorunclassified

Fractura de Jones, ¿Tratamiento quirúrgico o tratamiento conservador?

López

2018

Rev. Int. Cienc. Podol.

View full text Add to dashboard Cite

Resumen. La fractura de Jones se define como una fractura transversal localizada en la unión de la diáfisis con la metáfisis proximal en el quinto metatarsiano y es una de las lesiones más comunes que aparecen en el pie. Es una zona pobremente vascularizada, lo que conlleva altas tasas de no unión de la fractura. Se diagnostica con un exploración clínica, asociada a pruebas radiológicas, siendo necesarias tres proyecciones: lateral, antero-posterior y una oblicua de 45º. Hay distintas clasificaciones como son la de Torg et al. y Dameron et al., que nos ayudan a establecer un tratamiento, en función de la localización de la fractura y su evolución radiológica. El objetivo de este trabajo es realizar una revisión en la literatura científica para valorar las diferencias en los resultados entre el tratamiento quirúrgico y tratamiento conservador, en relación al tiempo de unión ósea y las posibles complicaciones, determinando así cual es el tratamiento óptimo para estas fracturas. Se llega a la conclusión de que el tratamiento conservador es una opción viable, pero conlleva mayores tasas de no unión y mayor tiempo de retorno a la actividad física que el tratamiento quirúrgico, aunque este puede llevar a una serie de complicaciones tales como la lesión del nervio sural o una posible fractura iatrogénica del metatarsiano. El tratamiento quirúrgico, que consiste mediante la fijación con un tornillo intramedular, tiene menor tiempo de reincorporación a la actividad habitual y mayores tasas de consolidación ósea por lo que será de primera elección en deportistas. Palabras clave: fractura de jones; tratamiento quirúrgico; tratamiento conservador.[en] Jones Fracture. Surgical treatment or conservative treatment?Abstract. Jones' fracture is defined as a transverse fracture located at the junction of the diaphysis with the proximal metaphysis in the fifth metatarsal and is one of the most common lesions that appear in the foot. It's a poorly vascularized area, which leads to high rates of non-union of the fractures. It is diagnosed with a clinical examination, associated with radiological tests, three projections are necessary: lateral, antero-posterior and an oblique of 45º. There are different classifications such as Torg et al. and Dameron et al., which help us to establish a treatment, depending on the location of the fracture and its radiological evolution. The objective of this study is to perform a review in the scientific literature to evaluate the differences in the results between surgical treatment and conservative treatment, in relation to the time of union and the possible complications, thus determining which is the optimal treatment for these fractures. We conclude that conservative treatment is a viable option, but it leads to higher rates of non-union and greater time to return to physical activity than surgical treatment, although this may lead to a series of complications such as injury Sural nerve or a possible iatrogenic fracture of the metatarsal. The surgical treatment, which consists of the fixation wi...

show abstract

“…1,3,4,[7][8][9][10][11][12] Since 1984, Torg et al's 13 recommendation of conservative treatment for Jones fractures, with a non-weight bearing cast for a period of 3 to 12 weeks, has been frequently followed. 5,10,12 In 2017, Brogan et al 14 concluded that all fifth metatarsal fractures can be safely managed with immediate full weight-bearing in an orthotic boot without adverse effects and that often no long-term review is needed. Most experts agree, however, that if the injury involves a displaced bone, multiple breaks, or fails to adequately heal, then surgery may be needed.…”

Section: Introductionmentioning

confidence: 99%

“…Most experts agree, however, that if the injury involves a displaced bone, multiple breaks, or fails to adequately heal, then surgery may be needed. [1][2][3]5,12,15 Metatarsal fractures might result in alterations of walking. Bauer et al 16 reported gait asymmetry in 11 out of 20 patients with fifth metatarsal fractures, most with no visible gait disorder.…”

Section: Introductionmentioning

confidence: 99%