Proximal fifth metatarsal diaphyseal stress fracture in football players

Popovic, Nebojsa; Jalali, Alireza; Georis, Pierre; Gillet, Philippe

doi:10.1016/j.fas.2005.03.002

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Article (Scientific journals)

Proximal fifth metatarsal diaphyseal stress fracture in football players

Popovic, Nebojsa; Jalali, Alireza; Georis, Pierre et al.

2005 • In Foot and Ankle Surgery, 11 (3), p. 135-141

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https://hdl.handle.net/2268/4242

DOI
10.1016/j.fas.2005.03.002

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Keywords :

Jones fracture; Soccer players; Surgical treatment

Abstract :

[en] The authors report their experience with operative treatment of 18 proximal fifth metatarsal stress fracture in 17 soccer players. Percutaneous intramedullary fixation with a 4.5 mm malleolar screw was used in 11 patients (group 1) and open intramedullary screw fixation associated with autologous cancellous bone grafting in 7 other (group 2). The average follow-up was 3.1 years. Clinical and radiographic union was obtained in all cases. The average return to full sports practice was 12 weeks. Refracture occurred in three players in the first group at 4.5, 5.2 and 6.0 months after return to full sport activity. They underwent reoperation with screw exchange, curettage of the fracture site and autologous cancellous bone grafting. No case of refracture was reported in the second group. On the basis of this series, intramedullary screw fixation associated with autologous cancellous bone grafting seems to be a reasonable primary treatment in high level soccer players.

Disciplines :

Orthopedics, rehabilitation & sports medicine
Surgery

Author, co-author :

Popovic, Nebojsa

Jalali, Alireza

Georis, Pierre ; Centre Hospitalier Universitaire de Liège - CHU > Chirurgie appareil locomoteur

Gillet, Philippe ; Université de Liège - ULiège > Département des sciences cliniques > Chirurgie de l'appareil locomoteur

Language :

English

Title :

Proximal fifth metatarsal diaphyseal stress fracture in football players

Publication date :

2005

Journal title :

Foot and Ankle Surgery

ISSN :

1268-7731

eISSN :

1460-9584

Publisher :

Elsevier Science

Volume :

Issue :

Pages :

135-141

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 15 January 2009

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Bibliography

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