Functional Effects of 3 Cases of Functional Fifth Metatarsal Fracture Treatment in Athletes
Bartłomiej Kacprzak and Natalia Siuba-Jarosz*
OrtoMedSport, Łódź, Poland
*Corresponding Author: Natalia Siuba-Jarosz, OrtoMedSport, Łódź, Poland.
October 27, 2021; Published: November 10, 2021
Objectives: The objective of this paper is to present a multi-modal conservative therapeutic regimen applied in three cases of fifth metatarsal bone fracture in Polish highest-level competitive athletes.
Design: Case study series.
Setting: Orthopedic outpatient clinic.
Patients: Three patients (2 male, 1 female) with a mean age 22, competitive athletes, who sustained a fifth metatarsal bone fracture.
Interventions: Autologous conditioned serum injections, intensive rehabilitation regime, hyperbaric chamber sessions.
Main Outcome Measurements: Radiographic fracture union, functional testing, return to play time, VAS score
Results: Three of the patients were treated conservatively according to the presented regime. In our study all fracture consolidated and return to sport time took on average 3 weeks.
Conclusions: The results presented in the paper encourage further implementation of the proposed treatment scheme. This article offers a treatment algorithm that include complex treatment of fifth metatarsal fractures which can be a viable alternative especially among athletes allowing them to quickly return to sport.
Keywords: Fifth Metatarsal Fractures; Athletes; Conservative Treatment; Rehabilitation
- Metcalfe SA. “Non-united fifth metatarsal metaphyseal fractures”. The Foot 2 (2001): 99-102.
- Nielsen TR., et al. “Long-term results after fracture of the fifth metatarsal”. Foot and Ankle Surgery4 (1998): 227-232.
- Fernández Fairen M., et al. “Fractures of the fifth metatarsal in basketball players. Knee Surgery, Sports Traumatology, Arthroscopy 6 (1999): 373-377.
- Goulart M., et al. “Foot and Ankle Fractures in Dancers”. Clinics in Sports Medicine2 (2008): 295-304.
- Popovic N., et al. “Proximal fifth metatarsal diaphyseal stress fracture in football players”. Foot and Ankle Surgery 3 (2005): 135-141.
- Thomson A., et al. “Fifth metatarsal stress fracture in elite male football players: an on-field analysis of plantar loading”. BMJ Open Sport and Exercise Medicine 1 (2018): e000377.
- Richter M., et al. “A new foot and ankle outcome score: Questionnaire based, subjective, Visual-Analogue-Scale, validated and computerized”. Foot and Ankle Surgery 4 (2006): 191-199.
- Stüber J., et al. “Normative data of the Visual Analogue Scale Foot and Ankle (VAS FA) for pathological conditions”. Foot and Ankle Surgery3 (2011): 166-172.
- Lawrence SJ and Botte MJ. “Jones’ Fractures and Related Fractures of the Proximal Fifth Metatarsal”. Foot and Ankle 6 (1993): 358-365.
- Yang KGA., et al. “Autologous interleukin-1 receptor antagonist improves function and symptoms in osteoarthritis when compared to placebo in a prospective randomized controlled trial”’. Osteoarthritis and Cartilage 4 (2008): 498-505.
- Baltzer AWA., et al. “Autologous conditioned serum (Orthokine) is an effective treatment for knee osteoarthritis”. Osteoarthritis and Cartilage2 (2009): 152-160.
- Ekstrand J and Torstveit MK. “Stress fractures in elite male football players: Stress fractures in male football players”. Scandinavian Journal of Medicine and Science in Sports 3 (2012): 341-346.
- Wiener BD., et al. “Treatment of Fractures of the Fifth Metatarsal: A Prospective Study”. Foot Ankle Int. 18.5 (1997): 267-269.
- Shahid MK., et al. “Aircast Walking Boot and Below-Knee Walking Cast for Avulsion Fractures of the Base of the Fifth Metatarsal: A Comparative Cohort Study”. Foot and Ankle International1 (2013): 75-79.
- Gray AC., et al. “A prospective comparison of two treatment options for tuberosity fractures of the proximal fifth metatarsal”. The Foot 3 (2008): 156-158.
- Zenios M., et al. “Functional treatment of acute metatarsal fractures: a prospective randomised comparison of management in a cast versus elasticated support bandage”. Injury7 (2005): 832-835.
- Roche AJ and Calder JDF. “Treatment and return to sport following a Jones fracture of the fifth metatarsal: a systematic review”. Knee Surgery, Sports Traumatology, Arthroscopy 6 (2013): 1307-1315.
- Baumbach SF., et al. “Functional treatment for fractures to the base of the 5th metatarsal - influence of fracture location and fracture characteristics”. BMC Musculoskeletal Disorder1 (2017): 534.
- Wright RW., et al. “Refracture of Proximal Fifth Metatarsal (Jones) Fracture After Intramedullary Screw Fixation in Athletes”. American Journal of Sports Medicine 5 (2000): 732-736.