Distal Shaft Fifth Metatarsal Fractures

NewsBot · Apr 13, 2016

Members do not see these Ads. Sign Up.
A New Radiographic Classification for Distal Shaft Fifth Metatarsal Fractures
Ronald L. Soave, DPM, FACFAS, Scott Bleazey, DPM, Asher Rudowsky, DPM, Roxann V. Clarke, DPM, MS, Attilio Avino Jr., DPM, David J. Kuchar, DPM
JFAS; Article in Press

In the present report, a new radiographic classification for distal shaft fractures of the fifth metatarsal is presented. The classification system is based on a review of 79 spiral oblique fractures of the distal shaft of the fifth metatarsal. The sample was grouped into ?grades? of deformity according to the configuration of the fracture and the amount of displacement observed for each injury. Four distinct fracture configurations emerged as a result of our radiographic analysis, and these were categorized as grades I, IIA, IIB, and III. Grade II fractures were most prevalent and accounted for 49% of the cases reviewed. Grade I and III fractures accounted for 29% and 22% of the distal fifth metatarsal fractures, respectively. To our knowledge, a classification system for fractures of the distal shaft of the fifth metatarsal has not been previously reported. The radiographic classification that we have proposed is intended to aid surgeons treating and discussing fractures localized to the distal portion of the fifth metatarsal.
Click to expand...

Admin2 · Apr 13, 2016

Related Thread:
Proximal fifth metetarsal fractures

NewsBot · Nov 11, 2021

The Fifth Metatarsal Shaft Fracture Is Well Treated With Benign Neglect
Leah J Gonzalez et al
Foot Ankle Spec. 2021 Nov 10

Background. Spiral fifth metatarsal fractures have been studied previously in professional dancers. However, little has been reported about outcomes of these injuries in the general population. The objective of this study was to examine patient demographics of those who sustain this injury and their functional outcomes, as stratified by treatment type. Methods. A total of 186 "nonprofessional dancer" patients with a fifth metatarsal fracture who were treated by one orthopaedic surgeon at our academic medical center were identified through chart review. All patients were allowed to weight bearing as tolerated (WBAT). Time to healing, persistence of pain, range of motion, and complications were recorded. Independent samples t tests, 1-way analysis of variance, and Fisher exact tests were used for analysis. Results. Thirty-seven of the 186 patients with fifth metatarsal fractures reviewed were identified as having a spiral fifth metatarsal fracture with appropriate follow-up. The cohort was 78.4% female with a mean age of 50.3 years. Twenty-two were initially treated in a controlled ankle motion (CAM) boot, 14 in a postoperative shoe, and 1 continued in their own shoes. All patients were allowed to WBAT. All fractures healed by a mean of 3.1 months. By the end of the follow-up period, 67.6% of patients had full range of ankle motion, with 5.4% reporting feeling stiff, 27.0% reporting mild persistent pain, and 2.7% reporting significant persistent pain. Conclusion. Fifth metatarsal shaft ("Dancer's") fractures occur within the general population, not only among professional dancers. Without operative fixation and regardless of nonoperative treatment selected, these fractures heal reliably and do so without clinically relevant complication.
Click to expand...

NewsBot The Admin that posts the news.

Admin2 Administrator Staff Member

NewsBot The Admin that posts the news.

Marrow Edema of Distal Phalynx and Sesamoiditis

Morphology and deformity of the distal phalanx in hallux valgus

Distal toe pain in children (abnormalities in the epiphysis and acrophysis)

Distal tibia varus syndrome

Deformable Foot Orthoses Redistribute Power from the Ankle to the Distal Foot

Entrapment Neuropathy of the Distal Medial Plantar Nerve

Fluid around the distal tibialis posterior tendon

Share This Page