Fractures of Proximal Portion of Fifth Metatarsal Bone: Anatomic and Imaging Evidence of a Pathogenesis of Avulsion of the Plantar Aponeurosis and the Short Peroneal Muscle Tendon

Theodorou, Daphne J.; Theodorou, Stavroula J.; Kakitsubata, Yousuke; Botte, Michael J.; Resnick, Donald

doi:10.1148/radiol.2263020284

Cited by 78 publications

(39 citation statements)

References 26 publications

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“…In our study, the mean width of the PB tendon at its insertion site was measured 14.85 AE 3.40 mm on the right side and 15.16 AE 3.42 mm on the left side. The ratio of the widths of the tendons at the insertion site to the tendon proper was found to be threefold, same ratio with what Theodorou et al [5] has reported.…”

Section: Discussionsupporting

confidence: 89%

“…In our study, the mean values for the width of the PB tendon was found to be 4.46 AE 0.80 mm on the right side and 4.42 AE 0.94 mm on the left side which were slightly higher than the ones Teng et al [4] reported. Theodorou et al [5] expressed that the PB tendon was inserting to a wider area at the dorsolateral aspect of the base of fifth MB which was fourfold compared the diameter of the tendon proper. In our study, the mean width of the PB tendon at its insertion site was measured 14.85 AE 3.40 mm on the right side and 15.16 AE 3.42 mm on the left side.…”

Section: Discussionmentioning

confidence: 99%

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The peroneus brevis tendon at its insertion site on fifth metatarsal bone

İmre

Kocabıyık

Sanal

et al. 2016

Foot and Ankle Surgery

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

The peroneus brevis tendon at its insertion site on fifth metatarsal bone

İmre

Kocabıyık

Sanal

et al. 2016

Foot and Ankle Surgery

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“…1b,c). The central and medial portions have soft tissue distal insertions forming the plantar aponeurosis, the lateral band differs somewhat with a bony insertion at the base of the fifth metatarsal [3].…”

Section: Anatomymentioning

confidence: 99%

Imaging of plantar fascia and Achilles injuries undertaken at the London 2012 Olympics

et al. 2013

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This file was dowloaded from the institutional repository Brage NIH -brage.bibsys.no/nih Elias, D. A., Carne, A., Bethapudi, S., Engebretsen, L., Budgett, R., O'Connor, P. (2013 AbstractPlantar fascia and distal Achilles injuries are common in elite athletes. Acute athletic injuries of the plantar fascia include acute plantar fasciopathy and partial or complete tears. Underlying most acute injuries is a background of underlying chronic plantar fasciopathy. Injuries may affect the central or less commonly lateral portions of the fascia and acute tears are generally proximal. Athletic Achilles injuries may occur at the mid tendon or the distal insertion, and there may be an underlying chronic tendinopathy. Acute or chronic paratendinopathy may occur as a separate entity or combined with Achilles injury. In this article the spectrum of athletic injuries of the plantar fascia and Achilles is described, illustrated by imaging findings from the London 2012 Olympic games.

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“…Multiple classification systems, over-complicating the issue, have been introduced to distinguish the different proximal fracture types of the fifth metatarsal bone (5MTB) [6][7][8][9] . These are considered complicated injuries due to the peculiar blood supply of this area and the multiple anatomical structures that insert in the proximal epiphysis of the 5MTB 10 (Fig. 1).…”

Section: Introductionmentioning

confidence: 99%

Early radiographic and clinical outcomes of minimally displaced proximal fifth metatarsal fractures: cast vs functional bandage

Biz

Zamperetti

Gasparella

et al. 2017

MLTJ

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SummaryBackground: The purpose of this non-randomized retrospective study was to investigate outcomes of minimally displaced, proximal 5MTB fractures, treated by a below-knee walking cast or a functional elasticated bandage with a support of a flat hardsoled shoe. Methods: A consecutive patient series was divided into two groups: the cast group (CG) and the functional group (FG). The subjects were radiologically and clinically evaluated according to Mehlhorn and Lawrence-Botte classification, and AOFAS Midfoot score, respectively. Results: 154 patients were followed up for a median of 15 months (range 12-24). There was no significant difference (p > 0.05) among the outcomes of each fracture pattern regarding the treatment choice.However, an earlier return to sports was noted in the FG, while Type-3 fractures achieved the worst results. Conclusion: Type-1 and 2 minimally displaced 5MTB proximal fractures can be successfully treated conservatively without weight-bearing restriction and without benefit of a cast with respect to a functional elasticated bandage. Level of clinical evidence: level III retrospective comparative study.

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Fractures of Proximal Portion of Fifth Metatarsal Bone: Anatomic and Imaging Evidence of a Pathogenesis of Avulsion of the Plantar Aponeurosis and the Short Peroneal Muscle Tendon

Abstract: The pathogenesis of fractures of the proximal portion of the fifth metatarsal bone appears to be related to avulsion injury of PAL and SPM tendon fibers.

Cited by 78 publications

References 26 publications

The peroneus brevis tendon at its insertion site on fifth metatarsal bone

The peroneus brevis tendon at its insertion site on fifth metatarsal bone

Imaging of plantar fascia and Achilles injuries undertaken at the London 2012 Olympics

Early radiographic and clinical outcomes of minimally displaced proximal fifth metatarsal fractures: cast vs functional bandage

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