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Methods: Twenty top-level athletes with diaphyseal stress fractures repaired with intramedullary malleolar screws were evaluated. The transition from surgery to return to sport was 9 weeks. The athletes returned to a higher level of fitness, 7 to the same level, and 1 to a lower level compared to the previous level of training before injury. The average American Orthopaedic Foot and Ankle Society midfoot score was 93. 8. 18 patients were found with vapour of the metatarsus and the midfoot, while 2 others were found with a normal plantigrade foot during the computerized pedobarographic examinations. Conclusions: Intramedullary malleolar screws can aid in the recovery of fifth metatarsal stress fractures in athletes. Varus of the metatarsus and the midfoot were two of the predisposing factors for stress fractures in this group of competitive athletes, and all were advised to wear orthoses until their competitive careers were complete.
Source link: https://doi.org/10.7547/1010517
VAS-FA scores at time of injury, 6 and 12 weeks, showed no difference between the SAT group and SLC group in VAS-FA scores at that time of injury, between the SAT group and SLC group at 6 and 12 weeks. At the second and fourth weeks of follow-up, the SAT group had a significantly higher mean VAS-FA score, with the SLC group having a much higher mean VAS-FA score. For both groups, there was no correlation between the fracture gap and functional scores. The SLC g was missing 40. 2 patients for the SAT's missed 37. 5 days and 11 patients with the SLC g missed 40. 2. Within 12 weeks, the bone union was also achieved for all patients. Conclusion: Compared to traditional SLC, treatment with SAT in these fractures had promising functional results. At the second and fourth weeks of therapy, the VAS-FA score was significantly higher in SAT group and assistive devices, though there were no significant differences in labor loss and use of assistive devices.
Source link: https://doi.org/10.7547/20-068
Pseudoaneurysms are caused by a traumatic or iatrogenic perforation of an artery, resulting in accumulation of blood between the two outermost layers of a blood vessel, tunica media, and tunica adventitia. We discuss the case of a 70-year-old female who developed a pseudoaneurysm of the dorsalis pedis artery 33 days after undergoing open reduction internal fixation of a second metatarsal fracture. The dorsalis pedis artery's pseudoaneurysm that arose shorty after ORIF's second metatarsal fracture occurred just shorty. Our case report shows early detection and successful treatment of a pseudoaneurysm of the dorsalis pedis artery, which occurred shortly after ORIF's second metatarsal fracture.
Source link: https://doi.org/10.7547/20-201
Abstract Introduction Although metatarsal fractures are common, recent epidemiological research has been limited to specific fracture elements, subpopulations, or heterogeneous fracture aetiologies. The aim of the research was to determine the epidemiology of isolated metatarsal fractures in an adult population at a level-1 trauma center. Both patients with acute isolated metatarsal fractures over the age of 18 years were eligible for radiographs in two planes available, including in two planes. The fifth metatarsal bone fractures occurred predominantly at the fifth metatarsal bone, and their incidence decreased with age, with a seasonal peak in the summer. Patients suffering multiple metatarsal fractures were significantly older, and the injury was more common among a high-energy fracture. Multiple metatarsal fractures arose evenly throughout all metatarsals, but there was no evidence for gender or other seasonal variations. Conclusions Single metatarsal fractures occurred predominantly at the fifth metatarsal bone, and there was a consistent pattern, gender, and age dependence.
Source link: https://doi.org/10.1007/s00402-022-04396-3
Purpose: Although the epidemiology of childhood metatarsal fractures is well understood, no definitive treatment has been elucidated, Only age, multiplicity of metatarsal fractures, and fracture translation between the non-surgical and surgical cohorts was statistically different between the non-surgical and surgical cohorts. None of the patients under the age of 12 years underwent surgical intervention. Multiple metatarsal fractures were detected in only 28 percent of the non-surgical group, relative to 70% of the surgical group. The likelihood of surgery rose by 32 percent in every year of age, and children were 6. 6 times more likely to have surgery if they had multiple metatarsal fractures, according to a logistic analysis. Return to sports took longer in the operative group, with a mean of 4. 0 to 2. 1 months. Only 14 children complained of persistent post-treatment pain, but none of those conditions had been diagnosed without surgery. The presence of post-treatment pain did not correlate with injury cause or the amount of displacement. Conclusion Each metatarsal injury pattern is unique, and surgeons should use their clinical experience to determine the right treatment; however, there appear to be some common indications for surgical therapy. Whereas open and articular fractures may be definitive signs of surgery, whereindefinite signs of surgical intervention in metatarsal shaft fractures seem to be adolescent age and multiple fractures. A short-leg walking cast for a minimum of four weeks, as well as activity limits for an additional month are all that could be used to achieve non-surgical care.
Source link: https://doi.org/10.1007/s11832-012-0403-5
In many cases, injuries of the metatarsal bones in football are extremely rare, and in the majority, they are localized in the fifth metatarsal. This article chronicles seven cases of the fifth metatarsal bone fractures in professional football players who were treated with an immobilization boot, cryotherapy, nutritional vitamins of calcium and vitamin D, and local injections of platelet-rich plasma, which contain numerous growth factors. Evidence 4: The degree of evidence 4: A case report research examines the number of evidence.
Source link: https://doi.org/10.1177/19386400211017368
At least three fracture types occur in the proximal fifth metatarsal: the Jones' fracture, the proximal diaphysial stress fracture, and the tuberosity avulsion fracture are among the earliest fractured fractures: the Jones' fracture, the proximal diaphysial stress fracture, and the tuberosity avulsion fracture are among the proximal fractures. The diaphysial stress fracture is often confused with Jones' fracture, masking vital gaps in diagnosis and therapy. Although surgical treatment for certain proximal fifth metatarsal fracture types can speed recovery time, most fractures heal with immobilization.
Source link: https://doi.org/10.1177/107110079301400610
The average length of recovery for patients treated with a soft dressing was 33 days, relative to 46 days for those with a short leg cast, and 43 days for those treated with a short leg cast. Also, the average modified foot score for patients treated in a soft dressing was 92 in comparison to 86 for patients treated in a short leg cast. We conclude that a soft dressing helps patients recover to pre-injury levels of activity faster than those in a short leg cast and without compromising the clinical or radiographic union of a ten metatarsal avulsion fractures.
Source link: https://doi.org/10.1177/107110079701800504
Background: Intramedullary screw fixation is the most common surgical therapy used for the treatment of fifth metatarsal stress fractures in athletes. Purpose: To investigate intracortical screw fixation with the Herbert screw in fifth metatarsal stress fractures in high-level athletes. Methods: The authors retrospectively reviewed 37 high-level athletes who underwent intramedullary screw fixation with the Herbert screw for their fifth metatarsal stress fractures between August 2005 and August 2017. The surgical results of the two groups, the no-gap group and the gap group, were compared, while correlations between intraoperative plantar gap widening and surgical findings were statistically assessed. Conclusion: The use of the Herbert screw for intramollary screw fixation in fifth metatarsal stress fractures in high-level athletes was met with encouraging results, allowing all athletes to return to the original sport without interruptions/complications.
Source link: https://doi.org/10.1177/03635465211045998
Introduction: The fifth metatarsal fracture and proximal diaphyseal fracture has been associated with longer healing times and nonunions. We hypothesized that the Jones fracture and proximal diaphyseal stress fracture among elite college football players, contributing to a decrease in NFL participation. The database was compiled by a single NFL team during the 2004 to 2009 NFL Combines to identify players with Jones and proximal diaphysal fractures. In 68 players, 74 percent metatarsal fractures had been found. The locations of fractures in the proximal fifth metatarsal were 45 in the Jones area, 15 in the proximal diaphyseal zone, and 14 in the undetermined location. The number of patients treated with intracerlary fixation was 55/74. Of 74 proximal fifth metatarsal fractures, nine of whom were nonunions at the time of the NFL Combine medical examinations, nine were nonunions. In the fifth metatarsal fracture group, 16. 9, compared to the control group, 24. 9 percent, with the numbers available. All measurements of coronal plane alignment showed significant differences across organizations, except for tal plane alignment, except for tal plane alignment measurements. Conclusion: Following Jones fractures and proximal diaphyseal stress fractures of the fifth metatarsal, no statistically significant difference was made in participation in the NFL, though a trend toward reduced participation was noted.
Source link: https://doi.org/10.1177/1071100713477616
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