Lesser metatarsal fractures. Incidence, management, and review

Spector, F C; Jm, Karlin; Scurran, B L; Sh, Silvani

doi:10.7547/87507315-74-6-259

Cited by 35 publications

(9 citation statements)

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“…n Key words Fracture -forefootmetarsal -toe -osteosynthesis [19]. Metatarsale 5 ist am häufigs-ten betroffen, gefolgt von Metatarsale 3, 2, 1 und 4 in Reihenfolge der sinkenden Häufigkeit [4].…”

Section: Forefoot Fractures Of the 2nd-5th Rayunclassified

Vorfußfrakturen 2.–5. Strahl

et al. 2005

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Section: Forefoot Fractures Of the 2nd-5th Rayunclassified

Vorfußfrakturen 2.–5. Strahl

et al. 2005

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“…Fractures of the metatarsal bones are the most frequent injuries of the foot (1,2) with an incidence of 67 per 100,000/ year. More than 70% involve the Fifth Metatarsal Bone (3,4) (5MTB) and approximately 80% are located proximally.…”

Section: Introductionmentioning

confidence: 99%

“…Muscles, Ligaments and Tendons Journal 2019;9(2) Fifth metatarsal tuberosity avulsion fractures: a new surgical technique without metal implant…”

mentioning

confidence: 99%

Fifth metatarsal tuberosity avulsion fractures: a new surgical technique without metal implant

Sesti

Oliva

Iundusi

2019

Muscle Ligaments and Tendons J

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Background: Lawrence and Botte classified in the 1993 the fractures of 5MTB in a Zone 1 (tuberosity avulsion fracture), Zone 2 (Jones fracture), and Zone 3 (stress diaphyseal fractures). Despite good outcomes with non-operative treatment, displacement, intra-articular involvement, comminution or painful non-union of Zone 1 fracture have been reported to benefit with early open reduction and fixation. We considered a Zone 1 fracture (tuberosity avulsion) with displacement of the segment from the metatarsal metaphysis > 2 mm. Surgical technique: We describe a surgical procedure for the tuberosity avulsion fractures (Zone 1 of Lawrence and Botte classification or type I-B of Mehlhorn classification) using FiberWire or Vycril sutures. Conclusions: This technique, without using metal implant, provides a theoretically lower rate of infections, could be useful in patients referring metal allergy or hypersensitivity to metal implants and it is not necessary the fluoroscopic guidance.

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“…Frakturen des Vorfußes machen etwa zwei Drittel aller Fußfrakturen aus [14,23]. Unter den Metatarsalefrakturen ist das Metatarsale 5 am häufigsten betroffen, gefolgt von Metatarsale 3, 2, 1 und 4 in Reihenfolge der sinkenden Häufigkeit [6].…”

Section: Introductionunclassified