We report an unusual case of basic bilateral fracture of fifth metatarsals in a 48 years old post-menopausal woman. She had previously been treated for arterial high blood pressure, parathyroidectomy and rheumatoid ar...We report an unusual case of basic bilateral fracture of fifth metatarsals in a 48 years old post-menopausal woman. She had previously been treated for arterial high blood pressure, parathyroidectomy and rheumatoid arthritis by a long corticotherapy treatment. The lesion was caused by an indirect mechanism in an overweight context. The diagnosis of a pseudarthrosis of the base of the fifth metatarsals was maintained after 7-month treatment. The patient received a treatment of both pseudarthrosis. The post-operative periods were simple. After a 9-month follow-up, the treatment allowed consolidation with painless feet allowing her to resume work.展开更多
Jones type fifth metatarsal fractures pose a challenge to the foot and ankle surgeon,given documented high nonunion rates as well as high complication rates including hardware prominence,nerve injury,and screw breakag...Jones type fifth metatarsal fractures pose a challenge to the foot and ankle surgeon,given documented high nonunion rates as well as high complication rates including hardware prominence,nerve injury,and screw breakage for existing treatment modalities including screw and plantar plate fixation.We call for the design of innovative Jones-fracture specific implants which contour to the natural curve of the fifth metatarsal.Future research should aim to expand upon existing literature for Jones fracture fixation and evaluate efficacy of novel implants which are designed to address unacceptably high complication rates for existing treatment modalities.展开更多
Metatarsal fractures are one of the most common injuries of the foot. There has been conflicting literatureon management of fifth metatarsal fractures due to inconsistency with respect to classification of these fract...Metatarsal fractures are one of the most common injuries of the foot. There has been conflicting literatureon management of fifth metatarsal fractures due to inconsistency with respect to classification of these fractures. This article provides a thorough review of fifth metatarsal fractures with examination of relevant literature to describe the management of fifth metatarsal fractures especially the proximal fracture. A description of nonoperative and operative management for fifth metatarsal fractures according to anatomical region is provided.展开更多
Jones type fifth metatarsal fracture is a common occurrence among athletes at all levels.These fractures may occur due to several mechanisms,but inversions and twisting injuries are considered some of the leading caus...Jones type fifth metatarsal fracture is a common occurrence among athletes at all levels.These fractures may occur due to several mechanisms,but inversions and twisting injuries are considered some of the leading causes in sports.However,while Jones fracture incidences are frequent in the sporting world,there is still a lack of consensus on how such fractures should be effectively managed.There are numerous treatment options for patients with fifth metatarsal Jones fractures.The role of nonoperative treatment remains controversial,with concerns about delayed union and nonunion.Surgical stabilization of metatarsal Jones fractures is therefore often recommended for athletes,as it is often associated with a low number of complications and a higher rate of union than nonoperative management.This review will focus on literature regarding the prevalence of Jones type fifth metatarsal fracture,alongside the efficacy of both conservative and surgical treatment within this population.展开更多
目的比较空心螺钉双皮质固定与非手术治疗对第5跖骨基底部I区骨折疗效影响。方法回顾性分析2016年2月—2017年6月陕西中医药大学第二附属医院收治的30例第5跖骨基底部I区骨折患者临床资料。男性19例,女性11例;年龄18~63岁,平均31.87岁;...目的比较空心螺钉双皮质固定与非手术治疗对第5跖骨基底部I区骨折疗效影响。方法回顾性分析2016年2月—2017年6月陕西中医药大学第二附属医院收治的30例第5跖骨基底部I区骨折患者临床资料。男性19例,女性11例;年龄18~63岁,平均31.87岁;均属于Lawrence and Botte I区骨折。30例患者按照治疗方法分为非手术组和手术组,非手术组14例给予石膏外固定,手术组16例采用空心螺钉双皮质固定。对两组患者恢复结果进行评估,包括VAS评分、骨折愈合时间、完全负重时间、功能恢复以及相关并发症,功能恢复采用美国骨科足踝协会(AOFAS)中足评分标准评定。结果随访12~24个月,平均14.5个月。非手术组1例畸形愈合,其余29例均Ⅰ期愈合。两组患者治疗后1个月VAS评分差异无统计学意义(P=0.102>0.05),12个月后手术组VAS评分[(0.51±0.25)分]显著低于非手术组[(1.32±0.36)分],P=0.001<0.05;AOFAS评分6个月后手术组[(88.44±2.58)分]优于非手术组[(84.29±2.30)分],P=0.003<0.05,12个月后差异无统计学意义(P=0.124>0.05);手术组骨折愈合时间[(45.44±4.18)d]短于非手术组[(56.57±5.24)d],P=0.002<0.05;完全负重时间手术组(56.5±3.88)d早于非手术组(67.07±4.48)d(P=0.002<0.05)。手术组16例患者未发生感染、骨折延迟愈合或不愈合、足畸形等并发症,无皮肤激惹症状;术后平均8.3个月(6~14个月)取出内固定装置,未发生再次骨折。结论空心螺钉双皮质固定在治疗第5跖骨基底部I区骨折中疗效确切,是一种可供选择的手术方式。展开更多
文摘We report an unusual case of basic bilateral fracture of fifth metatarsals in a 48 years old post-menopausal woman. She had previously been treated for arterial high blood pressure, parathyroidectomy and rheumatoid arthritis by a long corticotherapy treatment. The lesion was caused by an indirect mechanism in an overweight context. The diagnosis of a pseudarthrosis of the base of the fifth metatarsals was maintained after 7-month treatment. The patient received a treatment of both pseudarthrosis. The post-operative periods were simple. After a 9-month follow-up, the treatment allowed consolidation with painless feet allowing her to resume work.
文摘Jones type fifth metatarsal fractures pose a challenge to the foot and ankle surgeon,given documented high nonunion rates as well as high complication rates including hardware prominence,nerve injury,and screw breakage for existing treatment modalities including screw and plantar plate fixation.We call for the design of innovative Jones-fracture specific implants which contour to the natural curve of the fifth metatarsal.Future research should aim to expand upon existing literature for Jones fracture fixation and evaluate efficacy of novel implants which are designed to address unacceptably high complication rates for existing treatment modalities.
文摘Metatarsal fractures are one of the most common injuries of the foot. There has been conflicting literatureon management of fifth metatarsal fractures due to inconsistency with respect to classification of these fractures. This article provides a thorough review of fifth metatarsal fractures with examination of relevant literature to describe the management of fifth metatarsal fractures especially the proximal fracture. A description of nonoperative and operative management for fifth metatarsal fractures according to anatomical region is provided.
文摘Jones type fifth metatarsal fracture is a common occurrence among athletes at all levels.These fractures may occur due to several mechanisms,but inversions and twisting injuries are considered some of the leading causes in sports.However,while Jones fracture incidences are frequent in the sporting world,there is still a lack of consensus on how such fractures should be effectively managed.There are numerous treatment options for patients with fifth metatarsal Jones fractures.The role of nonoperative treatment remains controversial,with concerns about delayed union and nonunion.Surgical stabilization of metatarsal Jones fractures is therefore often recommended for athletes,as it is often associated with a low number of complications and a higher rate of union than nonoperative management.This review will focus on literature regarding the prevalence of Jones type fifth metatarsal fracture,alongside the efficacy of both conservative and surgical treatment within this population.
文摘目的比较空心螺钉双皮质固定与非手术治疗对第5跖骨基底部I区骨折疗效影响。方法回顾性分析2016年2月—2017年6月陕西中医药大学第二附属医院收治的30例第5跖骨基底部I区骨折患者临床资料。男性19例,女性11例;年龄18~63岁,平均31.87岁;均属于Lawrence and Botte I区骨折。30例患者按照治疗方法分为非手术组和手术组,非手术组14例给予石膏外固定,手术组16例采用空心螺钉双皮质固定。对两组患者恢复结果进行评估,包括VAS评分、骨折愈合时间、完全负重时间、功能恢复以及相关并发症,功能恢复采用美国骨科足踝协会(AOFAS)中足评分标准评定。结果随访12~24个月,平均14.5个月。非手术组1例畸形愈合,其余29例均Ⅰ期愈合。两组患者治疗后1个月VAS评分差异无统计学意义(P=0.102>0.05),12个月后手术组VAS评分[(0.51±0.25)分]显著低于非手术组[(1.32±0.36)分],P=0.001<0.05;AOFAS评分6个月后手术组[(88.44±2.58)分]优于非手术组[(84.29±2.30)分],P=0.003<0.05,12个月后差异无统计学意义(P=0.124>0.05);手术组骨折愈合时间[(45.44±4.18)d]短于非手术组[(56.57±5.24)d],P=0.002<0.05;完全负重时间手术组(56.5±3.88)d早于非手术组(67.07±4.48)d(P=0.002<0.05)。手术组16例患者未发生感染、骨折延迟愈合或不愈合、足畸形等并发症,无皮肤激惹症状;术后平均8.3个月(6~14个月)取出内固定装置,未发生再次骨折。结论空心螺钉双皮质固定在治疗第5跖骨基底部I区骨折中疗效确切,是一种可供选择的手术方式。
