The Epidemiology of Metatarsal Fractures

Petrisor, Brad; Ekrol, Ingri; Court-Brown, Charles M.

doi:10.1177/107110070602700303

Cited by 170 publications

(140 citation statements)

References 12 publications

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“…In this study, the most affected anatomical site was the neck of the second and third MBs with 43%. More than one affected metatarsal represented 57% of our patients, which is also consistent with previous studies in the literature (1,10,11) . Factors such as obesity, female sex, diabetes mellitus, and degree of deviation may worsen postoperative clinical outcomes (18) .…”

Section: Discussionsupporting

confidence: 93%

“…These fractures are the most common forefoot fractures in motorcycle accidents (6) , but occur most commonly through low-energy trauma, resulting from direct trauma or simple twists (10) . In our study, 69% of patients were low-energy trauma victims and 31% experienced high-energy trauma, conforming to the data found in the literature (3,7,10) . The most widely used classification for these fractures is the topographic one, except for fractures located at the base of the fifth metatarsal (7) .…”

Section: Discussionmentioning

confidence: 99%

“…However, depending on the intensity and direction of the traumatic vectors, the central metatarsals can be dislocated conjointly (10,11) . In general, MB fractures without deviations are treated conservatively.…”

Section: Introductionmentioning

confidence: 99%

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Tratamento cirúrgico das fraturas dos metatársicos laterais com técnica percutânea anterógrada: descrição técnica e resultados clínicos

Baumfeld¹,

Macedo

Nery

et al. 2012

Rev. bras. ortop.

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The authors declare that there was no conflict of interest in conducting this work ABSTRACTObjective: The aim of this study was to evaluate the results obtained using the anterograde percutaneous fixation technique for treating shaft and neck fractures of the lesser metatarsals. Methods: We prospectively evaluated 14 patients between 2003 and 2008, taking into consideration the topography of the fracture, trauma mechanism, associated comorbidities and AOFAS score for the forefoot. Results: The anatomical region most affected was the metatarsal neck (79%). Involvement of multiple metatarsals (53%) was more common than isolated fractures (47%). Low-energy trauma (79%) was more frequent than high-energy trauma (21%). Female patients with diabetes had the worst postoperative functional results. There were no postoperative complications relating to the type of treatment instituted. Conclusion: The surgical technique presented was efficient for treating fractures of the lesser metatarsals, with a lower complication rate than shown by other established techniques in the literature.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

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Tratamento cirúrgico das fraturas dos metatársicos laterais com técnica percutânea anterógrada: descrição técnica e resultados clínicos

Baumfeld¹,

Macedo

Nery

et al. 2012

Rev. bras. ortop.

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“…La fractura de los huesos metatarsianos es una de las lesiones más comunes que se pueden encontrar en el pie, con una incidencia de 6,7 fracturas por cada 10.000 personas 1 . El metatarsiano que con más frecuencia se fractura es el quinto metatarsiano (68%), seguido de los metatarsianos centrales (10%) y el primer metatarsiano (1,5%) 1 Robert Jones describió su propia patología en 1902, cuando se fracturó el quinto metatarsiano mientras bailaba 2 .…”

Section: Antecedentes Y Estado Actual Del Temaunclassified

Fractura de Jones, ¿Tratamiento quirúrgico o tratamiento conservador?

López

2018

Rev. Int. Cienc. Podol.

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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...

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“…2 Metatarsal fractures occur with an incidence of 67/ 100,000 per year, and up to 70% involve the fifth metatarsal. 3 The entrance of the nutrient vessel at the junction of the proximal and middle one-third of the fifth metatarsal shaft corresponds to the area of diaphyseal stress fractures and may render the fracture site avascular. 4 Fractures of the fifth metatarsal have been shown to be susceptible to the development of pseudoarthrosis during the healing phase.…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and serial sonography of a proximal fifth metatarsal stress fracture

Battaglia

Kaeser

Kettner

2013

Journal of Chiropractic Medicine

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Objective: The purpose of this report is to describe a fifth metatarsal stress fracture that was not detectable using conventional radiographs and was identified with diagnostic ultrasonography (US), confirmed with computed tomography, and followed through symptom resolution with US. Clinical features: A 68-year-old woman presented to a chiropractic teaching clinic for evaluation of right foot pain. Diagnostic US examination using an 8-to 15-MHz linear array transducer showed increased vascularity, periosteal elevation, and cortical disruption of the proximal diaphysis of the fifth metatarsal suggestive of a stress fracture. The patient was referred to an orthopedic specialist for comanagement. Intervention and outcome: The patient was treated by an orthopedist who confirmed a stress fracture using computed tomography, and she was fit with a short-leg walking boot. Serial US images were obtained to document fracture healing and exclude complications. After 6 months, the patient was asymptomatic and had resumed all of her daily activities. Conclusion: We report a case of a proximal fifth metatarsal stress fracture that was visualized with US and followed through symptom resolution by serial examinations.

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The Epidemiology of Metatarsal Fractures

Abstract: Knowledge of the epidemiology and injury patterns of metatarsal fractures can aid in the accurate identification and subsequent treatment of fractures of the metatarsals.

Cited by 170 publications

References 12 publications

Tratamento cirúrgico das fraturas dos metatársicos laterais com técnica percutânea anterógrada: descrição técnica e resultados clínicos

Tratamento cirúrgico das fraturas dos metatársicos laterais com técnica percutânea anterógrada: descrição técnica e resultados clínicos

Fractura de Jones, ¿Tratamiento quirúrgico o tratamiento conservador?

Diagnosis and serial sonography of a proximal fifth metatarsal stress fracture

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