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The American Journal of Sports Medicine· 1983Q1

Stress fracture of the fifth metatarsal

Jesse C. DeLee, Johnathan Evans, Jerry Julian

Short summary

An intramedullary screw inserted without opening the fracture site achieved union in 7.5 weeks for 10 athletes with fifth metatarsal stress fractures, with no complications or refractures.

AI-generated from the title and abstract; the full text is not read.

Key points

  • An axial intramedullary screw was used in 10 athletes with fifth metatarsal stress fractures.
  • Union was achieved in an average of 7.5 weeks.
  • All patients returned to sports in an average of 8.5 weeks.
  • No operative complications or refractures were reported.
  • Local pain from the screw head was resolved with shoe modifications.

AI-generated from the title and abstract; the full text is not read.

Abstract

Stress fractures of the fifth metatarsal have been reported with increasing frequency, especially in athletes. Prolonged healing time and the risk of refracture following conservative treatment have led to recommendations for operative treatment including bone grafting of these fractures. An axial intramedullary screw, inserted without opening the fracture site, was used in 10 athletes with stress fractures of the fifth metatarsal. Union was obtained in all patients in an average of 7.5 weeks. All patients returned to their sports in an average of 8.5 weeks postoperatively. There were no operative complications or refractures after screw insertion. Complaints of local pain over the screw head and/or the fifth metatarsal head, seen in 7 of the 10 patients, were relieved by local shoe modifications.

The authors' abstract, as published at the source. The American Journal of Sports Medicine, 1983 · DOI ↗

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Field: Pulmonary and Respiratory Medicine

Pulmonary and Respiratory MedicineMedicine