![]() Thus, this procedure seems to be preferable for primary treatment of this lesion in athletes. In this series, percutaneous screw fixation was able to achieve successful healing in a short period of time. Even if the non-operative treatment is able to provide a good result, immobilization without weight-bearing does not guarantee healing. Oblique fractures are almost always caused by falls or other traumas. There was one intraoperative complication, but no postoperative complications, such as nonunion or refracture, were observed. The mechanism is usually a crush injury or. Seven had a good result and the other two only fair. Fractures of the base are sometimes called dancers or pseudo-Jones fractures. There will be gapping at the fracture and there may be some shortening or rotation of the fracture (Figures 3A-3B). The size of the fractured fragment may vary considerably. Small avulsions derived from the tip of the base of the fifth metatarsal may be seen only in the oblique projection of the ankle. X-rays of the foot will reveal a long oblique fracture of the shaft of the 5th metatarsal. Of the nine patients with stress fractures in which a screw was inserted, all healed between 8 and 14 weeks and returned to sport within 7–12 weeks. The 2 most common fractures in the fifth metatarsal are a fracture at the tip of the tuberosity and a transverse fracture 1.5-2 cm from the tuberosity the latter is called a Jones fracture. Two of these had a good result in the other two the results were fair. Resumption of sport was achieved 20–24 weeks after the fracture. They may also be seen in the 3 rd metatarsal, 1 st or 2 nd cuneiform, or navicular bones. The other four cases, which had not healed after 12 weeks of immobilization, were subsequently treated using compression screws. Associated fractures most often occur at the base of the second metatarsal, seen as the fleck sign. Three had a good outcome and the fourth was fair. A difference of millimeters in location may lead to a vastly different prognosis and treatment plan a suboptimal treatment regimen can cause delayed union, reinjury, and chronic pain and disability. In the first group, union was obtained in four cases in an average of 9 weeks, with resumption of sport by12 weeks. Closed fracture of metaphysis of right fifth metatarsal Closed fracture of right fifth metatarsal Right fifth metatarsal (foot bone) fracture Right fifth metatarsal metaphyseal (foot bone) fracture ICD-10-CM S92.351A is grouped within Diagnostic Related Group(s) (MS-DRG v 40.0): 562 Fracture, sprain, strain and dislocation except femur, hip. INTRODUCTION Fractures of the proximal fifth metatarsal pose an important diagnostic challenge. Eight had acute fractures, which were treated with a cast without weight-bearing, and the other nine had stress fractures for which percutaneous compression screwing was initially used. A dancers fracture is a spiral or oblique fracture of the distal shaft or neck of the fifth metatarsal, resulting from inversion of the foot from a. A prospective nonrandomized study was made of 17 basketball players with fractures of the proximal third of the shaft of the fifth metatarsal. ![]()
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