Fifth metatarsal fractures: an update on management, complications, and outcomes

EFORT Open Reviews

article

George D Chloros¹  Christos D Kakos²  Ioannis K Tastsidis²  Vasileios P Giannoudis¹  Michalis Panteli¹  Peter V Giannoudis¹ 

[1] Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds;Orthopaedic Surgery Working Group, Society of Junior Doctors;University of Patras, School of Medicine;NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital

关键词: fifth metatarsal;    fracture;    treatment;    review;   

DOI  :  10.1530/EOR-21-0025

学科分类：神经科学

来源: The British Editorial Society of Bone & Joint Surgery

【 摘 要 】

Even though fifth metatarsal fractures represent one of the most common injuries of the lower limb, there is no consensus regarding their classification and treatment, while the term ‘Jones’ fracture has been used inconsistently in the literature. In the vast majority of patients, Zone 1 fractures are treated non-operatively with good outcomes. Treatment of Zone 2 and 3 fractures remains controversial and should be individualized according to the patient’s needs and the ‘personality’ of the fracture. If treated operatively, anatomic reduction and intramedullary fixation with a single screw, with or without biologic augmentation, remains the ‘gold standard’ of management; recent reports however report good outcomes with open reduction and internal fixation with specifically designed plating systems. Common surgical complications include hardware failure or irritation of the soft tissues, refracture, non-union, sural nerve injury, and chronic pain. Patients should be informed of the different treatment options and be part of the decision process, especially where time for recovery and returning to previous activities is of essence, such as in the case of high-performance, elite athletes.

【 授权许可】

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