Korean J Sports Med.  2011 Jun;29(1):21-25. 10.5763/kjsm.2011.29.1.21.

Percutaneous Cannulated Screw Fixation of Fifth Proximal Metatarsal Stress Fracture in Athletes

• Lee JY
• Ha SH
• Yu JW
• Lee SH
• Nam KY
• Song KC

• KMID: 2054004
• DOI: http://doi.org/10.5763/kjsm.2011.29.1.21

Abstract

The purpose of this study was to know utility of percutaneous cannulated screw fixation of fifth proximal metatarsal stress fractures in athletes by assessment of radiological and clinical outcome. This study examined clinical and radiological union time of eleven cases of percutaneous screw fixation, which used the 4.0 mm cannulated screw, of fifth proximal metatarsal stress fracture in athletes. Type I of Torg classification is 7 cases, type II is 3 cases and type III is 1 case. All the cases showed fracture union, and all the patients resumed their athletics at the final follow-up. None of the cases complained of refracture or pain around where they had surgery, and visual analogue scale of pain, and American Orthopedic Foot and Ankle Society score was 0.73 and 93.4. The results of the study confirm that percutaneous screw fixation, which used the cannulated screw, of fifth proximal metatarsal stress fracture would help athletes resume their athletics in early stages.

Keyword

Fifth metatarsal; Stress fractures; Cannulated screw; Athletes

MeSH Terms

Animals
Ankle
Athletes
Follow-Up Studies
Foot
Fractures, Stress
Humans
Metatarsal Bones
Orthopedics
Sports

Figure

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  Fig. 1. Twenty-year-old male soccer player, X-ray reveals Torg classification type 1. (A) Before operation. (B) After operation. (C) One month after operation. (D) Three months after operation.

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  Fig. 2. Nineteen-year-old male soccer player, X-ray re-veals Torg classification type 2. (A) Before operation. (B) After operation. (C) Two months after operation. (D) Four months after operation.

Reference

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