Fifth Metatarsal Jones Fractures in the Athlete.

Abstract:

:Fifth metatarsal fractures, otherwise known as "Jones" fractures, occur commonly in athletes and nonathletes alike. While recent occurrence in the popular elite athlete has increased public knowledge and interest in the fracture, this injury is common at all levels of sport. This review will focus on all three types of Jones fractures. The current standard for treatment is operative intervention with intramedullary screw fixation. Athletes typically report an acute episode of lateral foot pain, described as an ache. Radiographic imaging with multiple views of the weightbearing injured foot are needed to confirm diagnosis. If these images are inconclusive, further magnetic resonance imaging (MRI) or computed tomography (CT) is used. Nonoperative treatment is not commonly used as the sole treatment, except when following reinjury of a stable screw fixation. While screw selection is still controversial, operative treatment with intramedullary screw fixation is the standard approach. Technical tips on screw displacement are provided for Torg (types I, II, III) fractures, cavovarus foot fractures, recurrent fractures, revision surgery, occult fractures/high-grade stress reactions, and Jones' variants. Excellent clinical outcomes can be expected in 80% to 100% of patients when using the intramedullary screw fixation to "fit and fill" the medullary canal with threads across the fracture site. Most studies show the timing for return to sports with optimal healing to be seven to twelve weeks after fixation. LEVEL OF EVIDENCE:Level V, expert opinion.

journal_name

Foot Ankle Int

authors

Porter DA

doi

10.1177/1071100717741856

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

250-258

issue

2

eissn

1071-1007

issn

1944-7876

journal_volume

39

pub_type

杂志文章
  • Percutaneous vs. open repair of the ruptured Achilles tendon--a prospective randomized controlled study.

    abstract::A prospective randomized controlled trial comparing open and percutaneous repair of closed ruptured Achilles tendons was performed over a period of 30 months. Sixty-six patients from seven district general hospitals were entered into the study with 33 patients randomized into each group. A modification of the techniqu...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/107110070102200705

    authors: Lim J,Dalal R,Waseem M

    更新日期:2001-07-01 00:00:00

  • Treatment of symptomatic hammertoe with a proximal interphalangeal joint arthrodesis.

    abstract::This study examined 76 consecutive patients (100 feet) treated by a single surgeon for both flexible and rigid hammertoes with a PIP arthrodesis using custom-machined drills, a peg cutter, and hole cutter, combined with an extensor tenotomy and dorsal capsulotomy. Forty-eight percent of patients were defined as satisf...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章

    doi:10.1177/107110079501600904

    authors: Lehman DE,Smith RW

    更新日期:1995-09-01 00:00:00

  • Rotational scarf and akin osteotomy for correction of hallux valgus associated with metatarsus adductus.

    abstract:BACKGROUND:The presence of metatarsus adductus can complicate hallux valgus surgery. It reduces the gap between the first and second metatarsal and can restrict the transposition of the first metatarsal head. It also confounds the measurement of the first second intermetatarsal angle. MATERIALS AND METHODS:Twenty-seve...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2010.0220

    authors: Larholt J,Kilmartin TE

    更新日期:2010-03-01 00:00:00

  • Optical plantar pressure analysis following internal fixation for displaced intra-articular os calcis fractures.

    abstract::Using optical pedobarography, the outcome of open reduction and internal fixation of displaced os calcis fractures was assessed. In 12 patients, well reconstructed heel contact widths and no reduction in heel-ground contact times were found. In conjunction with this, patients showed lateral deviation of the plantar pr...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070302401108

    authors: Davies MB,Betts RP,Scott IR

    更新日期:2003-11-01 00:00:00

  • Comparison of multi-drug injection versus placebo after hallux valgus surgery.

    abstract:BACKGROUND:Hallux valgus surgery is followed by a significant amount of postoperative pain. Local multi-drug injection can be an option for pain control, but few clinical studies exist. METHODS:Between May 2008 and July 2009, 30 consecutive patients (60 feet) received simultaneous bilateral proximal osteotomies for th...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,随机对照试验

    doi:10.3113/FAI.2011.0856

    authors: Kim BS,Shim DS,Lee JW,Han SH,Ko YK,Park EH

    更新日期:2011-09-01 00:00:00

  • Does Revascularization Prior to Foot and Ankle Surgery Reduce the Incidence of Surgical Site Infection (SSI)?

    abstract:RECOMMENDATION:Several studies support the effect of peripheral vascular disease (PVD) on wound healing and surgical site infection (SSI). Despite this, there have been no specific studies proving the beneficial effect of revascularization on SSI prior to operative intervention in the setting of traumatic or elective f...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719859343

    authors: Heidari N,Charalambous A,Kwok I,Vris A,Li Y

    更新日期:2019-07-01 00:00:00

  • Radiographic Outcomes of Mobile-Bearing Total Ankle Arthroplasty for Patients With Rheumatoid Arthritis.

    abstract:BACKGROUND:Ankle disorders in patients with rheumatoid arthritis (RA) reduce their quality of life and activities of daily living. The aim of this study was to evaluate the midterm clinical and radiographic outcomes of TAA in patients with RA. METHODS:This retrospective study included patients with a minimum follow-up...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719851469

    authors: Yano K,Ikari K,Okazaki K

    更新日期:2019-09-01 00:00:00

  • Comparison of radiographic and anatomic distal metatarsal articular angle in cadaver feet.

    abstract:BACKGROUND:A few studies report correlations between radiographic and anatomic measurements of the distal metatarsal articular angle (DMAA). However, little is known about how the DMAA correlates with the hallux valgus angle (HVA) and with anatomic and clinical radiographic measurements. METHODS:We dissected, measured...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100714522027

    authors: Jastifer JR,Coughlin MJ,Schutt S,Hirose C,Kennedy M,Grebing B,Smith B,Cooper T,Golano P,Viladot R,Doty JF

    更新日期:2014-04-01 00:00:00

  • Functional Outcomes Following Anterior Transfer of the Tibialis Posterior Tendon for Foot Drop Secondary to Peroneal Nerve Palsy.

    abstract:BACKGROUND:This retrospective comparative study reports the practical function in daily and sports activities after tibialis posterior tendon transfer for foot drop secondary to peroneal nerve palsy. METHODS:Seventeen patients were followed for a minimum of 3 years after tibialis posterior tendon transfer for foot dro...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100717695508

    authors: Cho BK,Park KJ,Choi SM,Im SH,SooHoo NF

    更新日期:2017-06-01 00:00:00

  • Functional outcome after modified Blair tibiotalar arthrodesis for talar osteonecrosis.

    abstract:BACKGROUND:Osteonecrosis of the talar body is a challenging problem for both patient and surgeon. One reconstruction option is an arthrodesis of the tibia to the talar neck, as described by Blair, which has the theoretical advantages of salvaging some hindfoot height and motion of the subtalar joint. A few case series ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070302401005

    authors: Van Bergeyk A,Stotler W,Beals T,Manoli A 2nd

    更新日期:2003-10-01 00:00:00

  • Changes in ankle range of motion and muscle strength in habitual wearers of high-heeled shoes.

    abstract:BACKGROUND:Although cross-sectional biomechanical studies have reported that wearing high-heeled shoes can change the musculoskeletal system of the lower extremities, the long-term effects of wearing such shoes on the ankle remain unknown. The aim of this study was to reveal changes in ankle range of motion and muscle ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100712468562

    authors: Kim Y,Lim JM,Yoon B

    更新日期:2013-03-01 00:00:00

  • Autologous osteochondral grafting for talar cartilage defects.

    abstract::The purpose of this study was to evaluate the clinical results of Osteochondral Autograft Transfer System (OATS) for the treatment of symptomatic osteochondral defects of the talus using standardized outcome analysis. Nineteen patients with symptomatic osteochondral defect (OCD) of the talus were treated with autologo...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070202300502

    authors: Al-Shaikh RA,Chou LB,Mann JA,Dreeben SM,Prieskorn D

    更新日期:2002-05-01 00:00:00

  • Intrachondral microvasculature in the human fetal talus.

    abstract::The intrachondral microvasculature of the growing talus of human was studied in 16 fetuses aged from 15 to 44 weeks of gestation, using interrupted serial sections and vascular injection of ink. The cartilage model of the talus was shown to be well vascularized throughout by cartilage canals. The cartilage canal conta...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079701800604

    authors: Cheng X,Wang Y,Qu H

    更新日期:1997-06-01 00:00:00

  • Partial Achilles tendon ruptures associated with fluoroquinolone antibiotics: a case report and literature review.

    abstract::Fluoroquinolone antibiotics (such as olprofloxacin, pefloxacin, ofloxacin, norfloxacin, temafloxacin, etc.) have recently been implicated in the etiology of Achilles tendinitis and subsequent tendon rupture. We report on a patient with bilateral partial Achilles tendon ruptures associated with ciprofloxacin therapy an...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,评审

    doi:10.1177/107110079601700811

    authors: McGarvey WC,Singh D,Trevino SG

    更新日期:1996-08-01 00:00:00

  • Midterm results and complications after minimally invasive distal metatarsal osteotomy for treatment of hallux valgus.

    abstract:BACKGROUND:Minimally invasive distal metatarsal osteotomy (MIDMO) is a common technique used to correct the hallux valgus deformity, but controversy remains regarding the expected outcomes of this surgery. METHODS:Seventy-two patients (85 feet) suffering from hallux valgus underwent MIDMO with a modified Bösch techniq...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100713481453

    authors: Iannò B,Familiari F,De Gori M,Galasso O,Ranuccio F,Gasparini G

    更新日期:2013-07-01 00:00:00

  • Proximal phalanx and flexor digitorum longus tendon biomechanics in flexor to extensor tendon transfer.

    abstract:BACKGROUND:The flexor to extensor transfer of the flexor digitorum longus (FDL) tendon has been a relatively common operative procedure for the treatment of a flexible hammer toe deformity and chronic metatarsophalangeal (MTP) joint dislocation. A possible complication of using the tunnel technique rather than the tend...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100714565927

    authors: DiPaolo ZJ,Ross MS,Laughlin RT,Gould G,Flower K,Kiger L,Markert RJ

    更新日期:2015-05-01 00:00:00

  • Morphology of Anterior Talofibular Ligament After Arthroscopic Lateral Ankle Ligament Repair.

    abstract:BACKGROUND:Arthroscopic lateral ankle ligament repair for chronic lateral ankle instability (CLAI) yields good clinical results. However, the healing process of the ligament after anatomical repair remains unclear. This study evaluated the functional and patient-based outcomes for CLAI patients who underwent arthroscop...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100720920610

    authors: Hagio T,Yoshimura I,Kanazawa K,Minokawa S,Yamamoto T

    更新日期:2020-08-01 00:00:00

  • Local bone graft harvested from the distal tibia or calcaneus for surgery of the foot and ankle.

    abstract:BACKGROUND:Numerous operative procedures around the foot and ankle use bone graft to augment healing. Autologous bone graft remains the preferred type for these procedures. This can be harvested from the iliac crest, but complications are frequent. The purpose of our study was to investigate the option of harvesting th...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070502600604

    authors: Raikin SM,Brislin K

    更新日期:2005-06-01 00:00:00

  • Triple arthrodesis for diabetic peritalar neuroarthropathy.

    abstract::From 1963 to 1990, the senior authors (R.E.M. and K.G.H.) performed eight triple arthrodeses in seven patients with diabetes mellitus with sensory loss in the lower extremities. By clinical and roentgenographic examination, all patients were diagnosed with peritalar neuroarthropathy before surgery. All patients underw...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079501600604

    authors: Tisdel CL,Marcus RE,Heiple KG

    更新日期:1995-06-01 00:00:00

  • Prevalence of Metatarsus Adductus in Symptomatic Hallux Valgus and Its Influence on Functional Outcome.

    abstract:BACKGROUND:Metatarsus adductus (MA) increases the risk of developing symptomatic hallux valgus (HV). This study aimed to determine the prevalence of MA in patients with symptomatic HV and to evaluate how it affected the functional outcome after scarf osteotomy. METHODS:Between January 2007 and June 2012, a total of 20...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100715595618

    authors: Loh B,Chen JY,Yew AK,Chong HC,Yeo MG,Tao P,Yeo NE,Koo K,Rikhraj Singh I

    更新日期:2015-11-01 00:00:00

  • Bone scintigraphy findings in Lisfranc joint injury.

    abstract::Three-phase bone scintigraphy diagnosis of Lisfranc injury in a patient after foot trauma is discussed. Early diagnosis of Lisfranc joint injury is frequently missed and radionuclide bone scintigraphy may show a specific pattern where the x-rays are inconclusive. ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079501601107

    authors: Groshar D,Alperson M,Mendes DG,Barsky V,Liberson A

    更新日期:1995-11-01 00:00:00

  • Allograft Tendon Interposition Arthroplasty of the Hallux Metatarsophalangeal Joint: A Technique Guide and Literature Review.

    abstract::The "anchovy" interpositional arthroplasty technique can be used as a salvage option for failed hallux rigidus procedures. The operative technique utilized by the senior author is described. Careful soft-tissue handling, meticulous joint space and graft preparation, and interposition graft stabilization using a bone t...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,评审

    doi:10.1177/1071100718807738

    authors: Watson TS,Panicco J,Parekh A

    更新日期:2019-01-01 00:00:00

  • Postoperative range of motion trends following total ankle arthroplasty.

    abstract:BACKGROUND:It is still unknown how ankle range of motion changes following total ankle arthroplasty. This study was undertaken to more accurately address patient expectations, guide postoperative rehabilitation, and improve our understanding of how ankle range of motion changes with time. METHODS:119 total ankle repla...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100713481433

    authors: Ajis A,Henriquez H,Myerson M

    更新日期:2013-05-01 00:00:00

  • Percutaneous lateral ligament reconstruction with allograft for chronic lateral ankle instability.

    abstract:BACKGROUND:The majority of lateral ankle instability can be treated successfully with conservative method. However, if such treatments fail, surgical treatment should be considered. A wide variety of procedures have been introduced to treat chronic lateral ankle instability. The percutaneous method avoids dissection wh...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2012.0099

    authors: Youn H,Kim YS,Lee J,Choi WJ,Lee JW

    更新日期:2012-02-01 00:00:00

  • Arthroscopic removal of an osteoid osteoma of the talus: a case report.

    abstract::This article describes a patient with a 10-year history of persistent ankle pain. Differential diagnosis included osteoid osteoma and anterior ankle impingement. This patient subsequently underwent arthroscopic excision of a lesion on the talar neck following a complete radiographic work-up, which was nondiagnostic. T...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,评审

    doi:10.1177/107110079501600409

    authors: Resnick RB,Jarolem KL,Sheskier SC,Desai P,Cisa J

    更新日期:1995-04-01 00:00:00

  • Outcomes and Return to Activity After Operative Repair of Chronic Latent Syndesmotic Instability.

    abstract:BACKGROUND:This study is a retrospective review of prospectively gathered data determining the postoperative outcomes of patients who underwent operative treatment to address chronic syndesmotic instability. METHODS:The cohort is composed of 19 individuals who elected to undergo operative treatment of chronic syndesmo...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100715606488

    authors: Ryan PM,Rodriguez RM

    更新日期:2016-02-01 00:00:00

  • Popliteal fossa neural blockade as the sole anesthetic technique for outpatient foot and ankle surgery.

    abstract::Foot and ankle operations are being performed with greater frequency as outpatient procedures. Although the surgical procedure remains the same whether the operation is done in an inpatient or an outpatient setting, the anesthesia and postoperative analgesia are greatly affected when patients must be discharged soon a...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070002100107

    authors: Hansen E,Eshelman MR,Cracchiolo A 3rd

    更新日期:2000-01-01 00:00:00

  • The Effect of Obesity on Functional Outcomes and Complications in Total Ankle Arthroplasty.

    abstract:BACKGROUND:The prevalence of obesity in the United States is staggering. Currently, the effect of obesity on third-generation total ankle replacement (TAR) is unknown. METHODS:We prospectively identified a consecutive series of 455 primary TARs operated between May 2007 and September 2013 who had a minimum follow-up o...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100715606477

    authors: Gross CE,Lampley A,Green CL,DeOrio JK,Easley M,Adams S,Nunley JA 2nd

    更新日期:2016-02-01 00:00:00

  • Pathogenesis, Evaluation, and Management of Osteolysis Following Total Ankle Arthroplasty.

    abstract::Periprosthetic osteolysis is a common occurrence after total ankle arthroplasty (TAA) and poses many challenges for the foot and ankle surgeon. Osteolysis may be asymptomatic and remain benign, or it may lead to component instability and require revision or arthrodesis. In this article, we present a current and compre...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100720978426

    authors: Mehta N,Serino J,Hur ES,Smith S,Hamid KS,Lee S,Bohl DD

    更新日期:2020-12-21 00:00:00

  • Correction of multiplanar deformity of the second toe with metatarsophalangeal release and extensor brevis reconstruction.

    abstract:BACKGROUND:Surgical treatment of multiplanar (varus and dorsal angulation) second toe deformities due to degenerative instability can lead to recurrence, stiffness, and pain. The goal of this study was to evaluate the short-term outcomes associated with a new technique using an extensor digitorum brevis (EDB) tendon re...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100713475433

    authors: Ellis SJ,Young E,Endo Y,Do H,Deland JT

    更新日期:2013-06-01 00:00:00