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Excision of Symptomatic Nonunions of Proximal Fifth Metatarsal Avulsion Fractures in Elite Athletes
Background: An avulsion fracture of the proximal fifth metatarsal may result in a symptomatic nonunion and hinder athletic performance. Nonoperative management is often successful in alleviating symptoms. When symptoms persist, surgery can be undertaken to repair the nonunion or excise the avulsed f...
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| Published in: | The American journal of sports medicine 2011-11, Vol.39 (11), p.2466-2469 |
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| Main Authors: | , , , , |
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| container_end_page | 2469 |
| container_issue | 11 |
| container_start_page | 2466 |
| container_title | The American journal of sports medicine |
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| creator | Ritchie, J. David Shaver, J. Christopher Anderson, Robert B. Lawrence, Steven J. Mair, Scott D. |
| description | Background: An avulsion fracture of the proximal fifth metatarsal may result in a symptomatic nonunion and hinder athletic performance. Nonoperative management is often successful in alleviating symptoms. When symptoms persist, surgery can be undertaken to repair the nonunion or excise the avulsed fragment.
Purpose: The excision of the avulsed bone fragment is evaluated in the management of symptomatic nonunions.
Study Design: Case series; Level of evidence, 4.
Methods: Excision of the avulsed fifth metatarsal fragment was performed in 6 male high-performance athletes with symptomatic nonunions. The remaining edge of bone was contoured and smoothed.
Results: All 6 patients experienced an uneventful operation and recovery, returning to competitive play at a mean of 11.7 weeks. Activity-related pain and discomfort abated after the excision and rehabilitation. No surgical complications were noted.
Conclusion: Surgical excision of the avulsed fragment from the proximal fifth metatarsal is a safe and effective alternative intervention when nonoperative methods fail. |
| doi_str_mv | 10.1177/0363546511417566 |
| format | article |
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Purpose: The excision of the avulsed bone fragment is evaluated in the management of symptomatic nonunions.
Study Design: Case series; Level of evidence, 4.
Methods: Excision of the avulsed fifth metatarsal fragment was performed in 6 male high-performance athletes with symptomatic nonunions. The remaining edge of bone was contoured and smoothed.
Results: All 6 patients experienced an uneventful operation and recovery, returning to competitive play at a mean of 11.7 weeks. Activity-related pain and discomfort abated after the excision and rehabilitation. No surgical complications were noted.
Conclusion: Surgical excision of the avulsed fragment from the proximal fifth metatarsal is a safe and effective alternative intervention when nonoperative methods fail.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/0363546511417566</identifier><identifier>PMID: 21841068</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Athletes ; Athletic Injuries - rehabilitation ; Athletic Injuries - surgery ; Biological and medical sciences ; Diseases of the osteoarticular system ; Fractures ; Fractures, Bone - rehabilitation ; Fractures, Bone - surgery ; Humans ; Injuries of the limb. Injuries of the spine ; Male ; Medical sciences ; Metatarsal Bones - injuries ; Metatarsal Bones - surgery ; Orthopedic Procedures - methods ; Orthopedic Procedures - rehabilitation ; Orthopedics ; Pain - rehabilitation ; Recovery of Function ; Sports injuries ; Sports medicine ; Surgical outcomes ; Traumas. Diseases due to physical agents ; Treatment Outcome ; Young Adult</subject><ispartof>The American journal of sports medicine, 2011-11, Vol.39 (11), p.2466-2469</ispartof><rights>2011 American Orthopaedic Society for Sports Medicine</rights><rights>2015 INIST-CNRS</rights><rights>Copyright Sage Publications Ltd. Nov 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c425t-f89cbb37267826f0e0e394c2ef6400896e87a9441cdeabc3e6c19d85d8a312763</citedby><cites>FETCH-LOGICAL-c425t-f89cbb37267826f0e0e394c2ef6400896e87a9441cdeabc3e6c19d85d8a312763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904,79110</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25267109$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21841068$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ritchie, J. David</creatorcontrib><creatorcontrib>Shaver, J. Christopher</creatorcontrib><creatorcontrib>Anderson, Robert B.</creatorcontrib><creatorcontrib>Lawrence, Steven J.</creatorcontrib><creatorcontrib>Mair, Scott D.</creatorcontrib><title>Excision of Symptomatic Nonunions of Proximal Fifth Metatarsal Avulsion Fractures in Elite Athletes</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>Background: An avulsion fracture of the proximal fifth metatarsal may result in a symptomatic nonunion and hinder athletic performance. Nonoperative management is often successful in alleviating symptoms. When symptoms persist, surgery can be undertaken to repair the nonunion or excise the avulsed fragment.
Purpose: The excision of the avulsed bone fragment is evaluated in the management of symptomatic nonunions.
Study Design: Case series; Level of evidence, 4.
Methods: Excision of the avulsed fifth metatarsal fragment was performed in 6 male high-performance athletes with symptomatic nonunions. The remaining edge of bone was contoured and smoothed.
Results: All 6 patients experienced an uneventful operation and recovery, returning to competitive play at a mean of 11.7 weeks. Activity-related pain and discomfort abated after the excision and rehabilitation. No surgical complications were noted.
Conclusion: Surgical excision of the avulsed fragment from the proximal fifth metatarsal is a safe and effective alternative intervention when nonoperative methods fail.</description><subject>Athletes</subject><subject>Athletic Injuries - rehabilitation</subject><subject>Athletic Injuries - surgery</subject><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Fractures</subject><subject>Fractures, Bone - rehabilitation</subject><subject>Fractures, Bone - surgery</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metatarsal Bones - injuries</subject><subject>Metatarsal Bones - surgery</subject><subject>Orthopedic Procedures - methods</subject><subject>Orthopedic Procedures - rehabilitation</subject><subject>Orthopedics</subject><subject>Pain - rehabilitation</subject><subject>Recovery of Function</subject><subject>Sports injuries</subject><subject>Sports medicine</subject><subject>Surgical outcomes</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNqNkVFr2zAUhcVoWdNs73sqpjD65O5ey5LlxxCStZB2g23PRlGuVxfbSiW5tP--8pK1UCj0SXDPd66kcxj7gnCOWBTfgEsucikQcyyElB_YBIXIUs6lOGCTUU5H_Ygde38LAFhI9ZEdZahyBKkmzCweTOMb2ye2Tn49dttgOx0ak1zbfujj3I_CT2cfmk63ybKpw01yRUEH7XwczO6H9p996bQJgyOfNH2yaJtAySzctBTIf2KHtW49fd6fU_Znufg9v0hXP75fzmer1OSZCGmtSrNe8yKThcpkDQTEy9xkVMscQJWSVKHLPEezIb02nKTBcqPERmmOWSH5lJ3t9m6dvRvIh6prvKG21T3ZwVcl4piOeAcJyIELgEieviJv7eD6-I0IcVlCpjBCsIOMs947qquti3G5xwqhGouqXhcVLSf7vcO6o82z4X8zEfi6B7Q3uq2d7mNRL5yIMSGUkUt3nNd_6eVxb178BE2wpn4</recordid><startdate>20111101</startdate><enddate>20111101</enddate><creator>Ritchie, J. David</creator><creator>Shaver, J. Christopher</creator><creator>Anderson, Robert B.</creator><creator>Lawrence, Steven J.</creator><creator>Mair, Scott D.</creator><general>SAGE Publications</general><general>Sage Publications</general><general>Sage Publications Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20111101</creationdate><title>Excision of Symptomatic Nonunions of Proximal Fifth Metatarsal Avulsion Fractures in Elite Athletes</title><author>Ritchie, J. David ; Shaver, J. Christopher ; Anderson, Robert B. ; Lawrence, Steven J. ; Mair, Scott D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c425t-f89cbb37267826f0e0e394c2ef6400896e87a9441cdeabc3e6c19d85d8a312763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Athletes</topic><topic>Athletic Injuries - rehabilitation</topic><topic>Athletic Injuries - surgery</topic><topic>Biological and medical sciences</topic><topic>Diseases of the osteoarticular system</topic><topic>Fractures</topic><topic>Fractures, Bone - rehabilitation</topic><topic>Fractures, Bone - surgery</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metatarsal Bones - injuries</topic><topic>Metatarsal Bones - surgery</topic><topic>Orthopedic Procedures - methods</topic><topic>Orthopedic Procedures - rehabilitation</topic><topic>Orthopedics</topic><topic>Pain - rehabilitation</topic><topic>Recovery of Function</topic><topic>Sports injuries</topic><topic>Sports medicine</topic><topic>Surgical outcomes</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ritchie, J. David</creatorcontrib><creatorcontrib>Shaver, J. Christopher</creatorcontrib><creatorcontrib>Anderson, Robert B.</creatorcontrib><creatorcontrib>Lawrence, Steven J.</creatorcontrib><creatorcontrib>Mair, Scott D.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ritchie, J. David</au><au>Shaver, J. Christopher</au><au>Anderson, Robert B.</au><au>Lawrence, Steven J.</au><au>Mair, Scott D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Excision of Symptomatic Nonunions of Proximal Fifth Metatarsal Avulsion Fractures in Elite Athletes</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2011-11-01</date><risdate>2011</risdate><volume>39</volume><issue>11</issue><spage>2466</spage><epage>2469</epage><pages>2466-2469</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>Background: An avulsion fracture of the proximal fifth metatarsal may result in a symptomatic nonunion and hinder athletic performance. Nonoperative management is often successful in alleviating symptoms. When symptoms persist, surgery can be undertaken to repair the nonunion or excise the avulsed fragment.
Purpose: The excision of the avulsed bone fragment is evaluated in the management of symptomatic nonunions.
Study Design: Case series; Level of evidence, 4.
Methods: Excision of the avulsed fifth metatarsal fragment was performed in 6 male high-performance athletes with symptomatic nonunions. The remaining edge of bone was contoured and smoothed.
Results: All 6 patients experienced an uneventful operation and recovery, returning to competitive play at a mean of 11.7 weeks. Activity-related pain and discomfort abated after the excision and rehabilitation. No surgical complications were noted.
Conclusion: Surgical excision of the avulsed fragment from the proximal fifth metatarsal is a safe and effective alternative intervention when nonoperative methods fail.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>21841068</pmid><doi>10.1177/0363546511417566</doi><tpages>4</tpages></addata></record> |
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| subjects | Athletes Athletic Injuries - rehabilitation Athletic Injuries - surgery Biological and medical sciences Diseases of the osteoarticular system Fractures Fractures, Bone - rehabilitation Fractures, Bone - surgery Humans Injuries of the limb. Injuries of the spine Male Medical sciences Metatarsal Bones - injuries Metatarsal Bones - surgery Orthopedic Procedures - methods Orthopedic Procedures - rehabilitation Orthopedics Pain - rehabilitation Recovery of Function Sports injuries Sports medicine Surgical outcomes Traumas. Diseases due to physical agents Treatment Outcome Young Adult |
| title | Excision of Symptomatic Nonunions of Proximal Fifth Metatarsal Avulsion Fractures in Elite Athletes |
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