Proximal Fifth Metatarsal Fractures: Anatomy, Classification, Treatment and Complications. Metatarsal stress fractures are subtle and may not be visible on the initial X-ray Foot Fractures and dislocations of the forefoot (metatarsals and phalanges) are usually straightforward to identify, so long as the potentially injured bone is fully visible in 2 planes. Acute fractures to the proximal fifth metatarsal bone: development of classification and treatment recommendations based on the current evidence.
Fractures of the fifth metatarsal diagnosis and treatment. Radiographs typically reveal a radiolucency perpendicular to the long axis of the fifth metatarsal.
The epidemiology of metatarsal fractures. Jones’ fractures and related fractures of the proximal fifth metatarsal. Fractures of the base of the fifth metatarsal distal to the tuberosity. Classification and guidelines for non-surgical and surgical management. Torg JS, Balduini FC, Zelko RR, Pavlov H, Peff TC, Das M.Jones’s fracture: fracture of base of fifth metatarsal. Fracture of the Base of the Fifth Metatarsal Bone by Indirect Violence. He named the latter: ‘ Jones fracture’.ġ984 – Torg et al reported fractures of proximal diaphysis are likely located at a site of pre-existing stress pressure.ġ993 – Lawrence and Botte release a classification system distinguishing 3 zones 1902: 697ġ960 – Stewart differentiated an avulsion fracture of the tuberosity / styloid from fractures of the proximal diaphysis. This was done, and the fifth metatarsal was found fractured about three-fourths of an inch from its base. I hobbled down-stairs to my colleague…to X-ray my foot. There was a slight swelling over the base of the fifth metatarsal bone… A finger on the spot gave exquisite pain…Extension of the ankle and flexion of the toes were immediately felt at the base of the fifth metatarsal. Something gave way midway down my foot, and I at once suspected a rupture of the peroneus longus tendon…The following morning I carefully examined my foot and discovered that my tendon was intact. Whilst dancing, I trod on the outer side of my foot, my heel at the moment being off the ground.
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