$5th metatarsal fracture screw fixation$

$5th metatarsal fracture screw fixation$

Bowes and Buckley noted that this simplification resulted in the proximal diaphysis distal classification as tuberosity, which made it part of the Jones fracture. Their findings discovered that blood supply within this region emanates from three possible sources: the nutrient artery, metaphyseal perforators, and periosteal arteries.Įxpansion of the classification system by Torg et al resulted in the simplification of how proximal fifth metatarsal fractures are classified. The blood supply to the proximal fifth metatarsal was first investigated by Bowes and Buckley, using a cadaver model for the study. This classification is based on the fractures' healing potential as dictated by the blood supply to the affected zones. According to Sarpong et al, the two groups to which these fractures belong are proximal and distal fractures. In this case, the high prevalence of these injuries in the sporting world was attributed to the strenuous nature of activities, resulting in the application of specific stresses within this region, such as during jumping, running, and tackling.Īnatomically, fifth metatarsal fractures are classified into two groups. In their review of foot injuries among athletes, Boutefnouchet et al noted that these fractures are 10 times more likely to occur in males, with a mean age of 26 years. In the normal adult population, females tend to sustain the injury more than males at a ratio of 2:1 however, in sports, which are primarily dominated by males, these injuries are more common among males. Statistically, metatarsal fractures account for a significant proportion of foot injuries, comprising 35% of fractures within the foot region and approximately 5%-6% of all skeletal injuries, with an estimated incidence of 6.0 individuals.

$5th metatarsal fracture screw fixation$

Jones fracture was first described in 1902 by Sir Robert Jones as a unique type of fracture of the base of the fifth metatarsal he described this fracture as being 1/3 inch from the base. OVERVIEW OF THE TYPES OF FIFTH METATARSAL JONES FRACTURES Operative intervention is further evaluated primarily with respect to screw vs plate fixation techniques. This review focuses on defining this fracture subtype and the efficacy of both operative and nonoperative treatment options. Surgical treatment is often recommended for athletes, as it is often associated with a low number of complications and a higher rate of union than nonoperative treatment. Several research studies have demonstrated that nonoperative treatment pathways can be used successfully in these types of fractures, although concern exists about delayed and nonunion fractures. Treatment recommendations often depend on the location and understanding of the fracture anatomy in addition to the patient's underlying health. However, while this fracture type occurs frequently in the sporting world, there is still a lack of consensus on how such fractures should be effectively managed, especially in an industry where time is often of the essence. These fractures may occur due to several movement mechanisms, but inversions and twisting injuries are considered some of the leading causes in sports. Jones type fifth metatarsal fractures are a common occurrence among athletes at all levels. This review will focus on literature regarding the prevalence of Jones type fifth metatarsal fracture, alongside the efficacy of both conservative and surgical treatment within this population. Surgical stabilization of metatarsal Jones fractures is therefore often recommended for athletes, as it is often associated with a low number of complications and a higher rate of union than nonoperative management. The role of nonoperative treatment remains controversial, with concerns about delayed union and nonunion. There are numerous treatment options for patients with fifth metatarsal Jones fractures. However, while Jones fracture incidences are frequent in the sporting world, there is still a lack of consensus on how such fractures should be effectively managed. These fractures may occur due to several mechanisms, but inversions and twisting injuries are considered some of the leading causes in sports. Jones type fifth metatarsal fracture is a common occurrence among athletes at all levels.

$5th metatarsal fracture screw fixation$