Fractures of the base of the V metatarsal bone-current concepts revised

Der Unfallchirurg
Sebastian Felix BaumbachHans Polzer

Abstract

Fractures of the base of the fifth metatarsal bone are one of the most frequent fractures to the foot and ankle. Despite the high frequency and although a number of studies are now available, treatment frequently does not follow the available evidence. Among the reasons is the inconsistent terminology used and that the studies available are neglected. The aim of this review is to present the current classifications, the available treatment studies and to derive evidence-based treatment recommendations. The term "Jones fracture" has been used inconsistently for different fracture entities and should, therefore, not be used anymore. Fractures are mostly classified according to Lawrence and Botte into three zones. However, the available studies demonstrate that type I and type II fractures according to Lawrence and Botte do not differ with respect to the prognosis. Both fractures can be successfully healed by functional treatment with weightbearing as tolerated. Consequently, a differentiation between these two zones does not seem to be meaningful. Therefore, they should be summarized as epi-metaphyseal fractures. Even dislocated, intra-articular, and multifragmentary fractures in this region can be functionally treated with good ...Continue Reading

References

Jan 1, 1992·The American Journal of Sports Medicine·A C RettigJ Wilckens
Jul 1, 1993·Foot & Ankle·S J Lawrence, M J Botte
May 1, 1997·Foot & Ankle International·B D WienerJ F Giattini
Aug 31, 1999·Journal of the American Podiatric Medical Association·K B Landorf
Mar 1, 1995·The Journal of the American Academy of Orthopaedic Surgeons·T B Dameron
Jul 31, 2004·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Anthony R Giordano, Lawrence M Fallat
Aug 19, 2004·Injury·Stefan RammeltHans Zwipp
May 13, 2005·The American Journal of Sports Medicine·Timothy S MologneThomas J O'Brien
Mar 17, 2006·Foot & Ankle International·Brad A PetrisorCharles Court-Brown
Jun 15, 2007·Foot & Ankle International·Kenneth EgolKenneth J Koval
Jul 3, 2009·Injury·E W Zwitser, R S Breederveld
Aug 18, 2010·Archives of Orthopaedic and Trauma Surgery·H CakirT Schepers
Sep 8, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Andrew J Roche, James D F Calder
Sep 20, 2012·The American Journal of Sports Medicine·Masashi NagaoSung-Gon Kim
Aug 26, 2014·Injury·E BigsbyW Harries
Jan 20, 2016·Foot & Ankle International·Martin O'MalleyRiley Williams

❮ Previous
Next ❯

Citations

Jan 10, 2020·Der Unfallchirurg·M ZyskowskiT Neuhof
Feb 27, 2020·Foot & Ankle International·Sebastian F BaumbachHans Polzer
Mar 9, 2019·Der Unfallchirurg·M BeckT Mittlmeier
Mar 6, 2021·Der Unfallchirurg·Rainer Christoph MikschHans Polzer
Aug 21, 2021·Der Orthopäde·N HarrasserP Weber
Jul 27, 2021·Deutsches Ärzteblatt International·Viktoria HerterichHans Polzer

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.