Early return to playing professional football following fixation of 5th metatarsal stress fractures may lead to delayed union but does not increase the risk of long-term non-union

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
David MillerJames Calder

Abstract

5th metatarsal stress fractures are frequently encountered in professional football. There is concern that early return to play following intra-medullary screw fixation may lead to an increased risk of delayed union. The purpose of the study was to assess whether an early return to play after surgical fixation of 5th metatarsal fractures in professional football players is a risk factor for delayed union and the effect of this on the ultimate clinical outcome. Retrospective review of prospectively collected data of a series of 37 professional football players following intramedullary screw fixation of 5th metatarsal stress fractures. End points included time of return to play and to radiological union of the fracture. At a minimum follow-up of 24 months the mean return to play was 10.5 weeks and mean time to complete radiological union was 12.7 weeks. Return to play at 8 weeks or less resulted in a higher risk of delayed radiological union (24% at 3 months), but this neither prevented the athlete from continuing to play football nor did it affect the ultimate risk of non-union (3% overall). A re-fracture occurred in 1 patient (3%) at 10 months who previously had complete radiographic union at 9 weeks. Intramedullary screw fixat...Continue Reading

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Citations

Nov 3, 2020·The Bone & Joint Journal·Mai KatakuraJames D Calder
Feb 6, 2021·Foot and Ankle Clinics·Michelle M Coleman, Gregory P Guyton
Feb 23, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Julian J HollanderGino M M J Kerkhoffs
Jan 27, 2022·Clinical Orthopaedics and Related Research·Naudereh NooriMichelle M Coleman

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