Suture Anchor Fixation for Fifth Metatarsal Tuberosity Avulsion Fractures: A Case Series and Review of Literature

Hong, Choon Chiet; Nag, Kushal; Yeow, H. H.; Lin, Adrian Zhigao; Tan, Ken Jin

doi:10.1053/j.jfas.2018.02.014

Cited by 7 publications

(5 citation statements)

References 17 publications

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“…Surgical treatment of acute 5 th metatarsal bone fractures brings much better and faster results of recovery compared to conservative treatment ( Bernstein et al, 2018 ; Hong et al, 2018 ; Japjec et al, 2015 ). Such a guideline is included in almost every fracture treatment protocol regarding athletes’ convalescence ( Japjec et al, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

The Fifth Metatarsal Bone Fracture In Athletes ‐ Modalities of Treatment Related to Agility In Soccer Players

Ficek¹,

Kędra²,

Skowronek³

et al. 2021

Journal of Human Kinetics

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The 5th metatarsal fracture is a common foot fracture which could exclude a player from competition for several months and significantly affect his or her career. This manuscript presents the treatment and rehabilitation of professional soccer players who had acute fractures of the 5th metatarsal bone and a cannulated screw fixation. The main purpose of the analysis was to determine the minimum time necessary for a permanent return to the sport after a 5th metatarsal fracture among professional soccer players. We followed the surgical and rehabilitation path of 21 professional soccer players from the Polish League (Ist and IInd divisions) who suffered from the 5th metatarsal bone fracture. All players underwent standard percutaneous internal fixation with the use of cannulated screws. The total inability to play lasted for 9.2 (± 1.86) weeks among players treated only surgically (n = 10), 17.5 (± 2.5) weeks in the conservative and later surgery group, excluding players with nonunion (n = 6), and 24.5 (± 10.5) weeks for nonunion and switch treatment (n = 4) players. Prompt fracture stabilization surgery is recommended for athletes, enabling the implementation of an aggressive rehabilitation protocol as soon as possible. Early limb loading after surgery (from week 2) does not delay fracture healing or hinder the bone union, thus rehabilitation plays a crucial role in shortening the time of RTP (return to play) and is obligatory for each athlete who undergoes surgical treatment.

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Section: Discussionmentioning

confidence: 99%

The Fifth Metatarsal Bone Fracture In Athletes ‐ Modalities of Treatment Related to Agility In Soccer Players

Ficek¹,

Kędra²,

Skowronek³

et al. 2021

Journal of Human Kinetics

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“…A below-the-knee cast is not required. Treatment outcomes have been excellent, regardless of the implant that was used 101,111,112,118-125 .…”

Section: Principles Of Treatmentmentioning

confidence: 97%

“…Several custom or preshaped plates for tuberosity fractures 117-121 , various types of screws 101,120-124 (Fig. 3), and, recently, anchors 125 are available. In a biomechanical study, a single 4.0-mm bicortical partially threaded cancellous screw was significantly (p < 0.02) more stable than a tension-band wire construct for avulsion fracture fixation 109 .…”

Section: Principles Of Treatmentmentioning

confidence: 99%

Fractures of the Base of the Fifth Metatarsal Bone

Bartoníček

Rammelt

2021

JBJS Reviews

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» Fractures of the proximal fifth metatarsal (PFMT) are one of the most common foot injuries, accounting for 61% to 78% of all foot fractures, but full consensus on their classification, diagnosis, and treatment has not yet been reached.» The most commonly accepted classification is that of Lawrence and Botte, who divided the location of PFMT fractures into 3 zones with respect to their healing potential.» Avulsion fractures of the tuberosity of the base (zone 1) generally heal well, and nonoperative treatment is commonly recommended.» Internal fixation may be considered for displaced fractures that extend into the fourth-fifth intermetatarsal joint (zone 2) as well as for nondisplaced fractures in athletes or high-demand patients, with the aims of reducing the healing time and expediting return to sport or work.» Stress fractures of the proximal diaphysis (zone 3) are preferably treated operatively, particularly in the presence of signs of delayed union. With nonoperative treatment, supportive measures such as ultrasonography or external/extracorporeal shockwave therapy have been demonstrated to have limited potential for the enhancement of fracture-healing.

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“…More recently, the use of plantar plates for the treatment of these lesions has been emphasized. 12,13 Regarding zone I fractures, Hong et al 14 have lately reported a technique for fixation of displaced tuberosity fragments with a suture anchor, allowing early rehabilitation and avoiding the need to remove prominent wires or implants.…”

Section: Research-article2020mentioning

confidence: 99%

Fifth Metatarsal Fractures in Professional Soccer Players: Case Series

Baumfeld

Rezende

Nery

et al. 2020

Foot & Ankle Specialist

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Objective. Fifth metatarsal fractures occur mainly in young athletes, with an estimated incidence of 1.8 per 1000 individuals per year. This study aims to evaluate the functional outcome of professional soccer players undergoing surgical treatment of fifth metatarsal base fractures. Methods. We appraised 34 soccer players operated on from July 2001 to June 2016. All individuals were assessed by the American Orthopedic Foot and Ankle Score (AOFAS) and Visual Analog Scale (VAS) before and after surgery, with a mean 23-month follow-up. The need for grafting, fracture healing, Torg classification, and return to sports were also evaluated. Results. There were 10 attackers, 7 offensive-defensive midfielders, 6 side defenders, 5 central defensive midfielders, 3 defenders, 2 goalkeepers, and 1 defensive midfielder, at an average age of 19 years. Preoperative and postoperative AOFAS averaged 42 and 99 points, respectively, whereas VAS scores were 6 and 0. The longer the time to get operated on, the greater was the need for grafting (P = .011). In our study, all fractures have consolidated. Return to sports occurred, on average, 73 days after surgical treatment, and it was not influenced by the time to get operated on, fracture healing, Torg classification, and grafting. Conclusion. Surgical treatment of the fifth metatarsal base fracture in professional soccer players presents good clinical results. Getting back to activities after surgery is not influenced by surgery time, fracture healing, Torg classification, and grafting. Levels of Evidence: Level IV: Therapeutic studies, Case series

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Suture Anchor Fixation for Fifth Metatarsal Tuberosity Avulsion Fractures: A Case Series and Review of Literature

Cited by 7 publications

References 17 publications

The Fifth Metatarsal Bone Fracture In Athletes ‐ Modalities of Treatment Related to Agility In Soccer Players

The Fifth Metatarsal Bone Fracture In Athletes ‐ Modalities of Treatment Related to Agility In Soccer Players

Fractures of the Base of the Fifth Metatarsal Bone

Fifth Metatarsal Fractures in Professional Soccer Players: Case Series

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