Fractures of the 5th metatarsal base area called the Jones’ fracture. These three fractures patterns include: Fractures of the 5th metatarsal neck/shaft area. Zone 1 and zone 3 fifth metatarsal fractures can generally be treated non-operatively, by stabilizing the foot in a special shoe for six to 10 weeks to allow. ![]() In contrast, fractures in zone III should primarily be treated surgically. There are three different fracture patterns recognized by the doctors at the Foot and Ankle Surgery Department at the Santa Rosa Kaiser Permanente Medical Center. There seems to be no reason to consider zone I and II fractures as two separate entities, as the outcomes in the two groups are similar. One RCT compared surgery and immobilization for zone III fractures: surgery led to statistically significant improvement of the outcome in all of the measured parameters.įractures in zones I and II should be treated with early functional therapy. Five studies compared fractures in zones I and II that were treated in the same manner, revealing similar outcomes. One RCT that compared functional therapy with immobilization for zone II fractures revealed no statistically significant difference. 46 days p<0.05) with early functional therapy, and similar outcomes for immobilization and surgery. The non-randomized studies revealed a faster return to full function (33 vs. The base of the fifth metatarsal is located on the outside (lateral) aspect of the foot where you can feel a prominent bone, about half way along the length of the foot. 28 days p = 0.001), with otherwise similar outcomes. Two of these were randomized controlled trials (RCTs) in one RCT, patients given functional therapy returned to work much sooner than those treated with immobilization (11 vs. Nine studies compared different treatments of zone I fractures. Studies were included that compared the treatment of two types of fracture in the same manner, or that compared two different treatments for a single type of fracture. The three fracture localizations according to Lawrence and Botte (zone I, proximal to the intermetatarsal joint between the fourth and fifth metatarsal bones zone II, in the area of the joint zone III, at the distal end of the joint) are analyzed on the basis of a systematic literature search. Nevertheless, no evidence-based treatment recommendations are available to date. Approximately 30% of metatarsal fractures affect the base of the fifth metatarsal bone. ![]() Metatarsal fractures are among the most common foot and ankle injuries, with an annual incidence of 6.7 per 100 000 persons.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |