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Titre : | Proximal Fifth Metatarsal Fractures in Athletes: Management of Acute and Chronic Conditions (2021) |
Auteurs : | David Porter ; Jeff Klott |
Type de document : | Article |
Dans : | Foot and Ankle Clinics (Vol. 26, n°1, Mars 2021) |
Article en page(s) : | p. 35-63 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Athlètes ; Fracture de Jones ; Fractures multiples fermées du tarse et du métatarse ; Pronostic ; Thérapeutique |
Résumé : |
Key points:
Proximal fifth metatarsal fractures are common in the athlete and can be a source of significant, temporary disability and missed playing time. The pattern of fracture can vary, and the type of fracture leads to a significantly different prognosis and treatment. Jones fractures of the fifth metatarsal are particularly common and difficult to treat in the athlete, can have recurrence and refracture, and require expertise to heal. Intramedullary screw fixation is currently the preferred method of fixation. There is confusion regarding the classification and therefore treatment of other proximal fifth metatarsal fractures, which require careful evaluation and attention to classification and to treat properly. Os vesalianum can be confused with fracture nonunions, which causes mistreatment. Most other (non-Jones fractures and os vesalianum) proximal fifth metatarsal fractures can be treated successfully without surgery. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S108375152030139X |