Abstract

5^th metatarsal stress fractures are frequently encountered in professional football.

Approximately five to six percent of fractures encountered in the primary care setting are metatarsal fractures. In adults, metatarsal fractures peak in the second to fifth decades of life. The most frequent fracture seen is the fifth metatarsal, accounting for 68% of metatarsal fractures. Proximal fifth metatarsal fractures are divided into three zones. Zone one, zone two and zone three fractures account for 93%, four percent and three percent of proximal fifth metatarsal fractures, respectively [1].

Radiographic imaging for a suspected metatarsal fracture includes three standard radiographic views of the foot: Lateral, anteroposterior, and a 45 degree oblique. Acute stress fractures are typically not detected on the standard three views of the foot. It is suggested that repeated radiographs are made at 10 to 14d after the initial onset of symptoms. At this time a radiolucent reabsorption gap around the fracture confirms the diagnosis. In the case of more complex midfoot trauma, a CT scan is recommended to rule out the Lisfranc fracture dislocation [2].

Displaced zone two fractures require operative management. Less consensus exists on acute nondisplaced Jones fractures (zone two). There are many studies that advocate for early intramedullary screw fixation for acute Jones fractures in the active population. Acute Jones fractures treated operatively resulted in quicker return to sport and clinical healing in competitive athletes [1].

There is concern that early return to play following intra-medullary screw fixation may lead to an increased risk of delayed union. However, intramedullary screw fixation of 5^th metatarsal stress fractures leads to a predictable time of return to play and a low rate of non-union [3].

Keywords: Metatarsal Fractures; Fifth Metatarsal; Jones Fracture; Club Pachuca Soccer

References

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2. John Alsobrook MD. “Proximal fifth metatarsal fractures”. Uptodate (2020): 10-15.
3. Miller D., et al. “Early return to playing professional football following fixation of 5^th metatarsal stress fractures may lead to delayed union but does not increase the risk of long-term non-union”. Knee Surgery, Sports Traumatology, Arthroscopy 27 (2019): 2796-2801.
4. Zwitser E W and Breederveld RS. “Fractures of the Fifth Metatarsal, Diag-nosis and Treatment. Injury 41 (2010): 555-562.
5. Singer G., et al. “A Study of Metatarsal Fractures in Children”. The Journal of Bone and Joint Surgery 90 (2008): 772-776.
6. Ding B C., et al. “Fractures of the ProximalFifth Metatarsal: Keeping up with the Joneses”. Bulletin of the NYU Hospital for Joint Diseases 70 (2012): 49-55.

Citation

Citation: José María Busto Villarreal and Karen Rubí Martínez Vega. “Bilateral Fracture of 5^th Metatarsal".Acta Scientific Orthopaedics 4.1 (2021): 11-13.

Copyright

Copyright: © 2021 José María Busto Villarreal and Karen Rubí Martínez Vega. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.