J Korean Foot Ankle Soc.  2004 Jun;8(1):92-96.

Operative Treatment for Avulsion Fracture of Base of the Fifth Metatarsal

• Kim YC
• Chung WY
• Cho SJ
• Kim YS
• Jo SK

Abstract

PURPOSE: To analyze the clinical and radiological results of the operative treatment in the avulsion fracture on the base of the fifth metatarsal.
MATERIALS AND METHODS
We studied retrospectively, 11 patients of avulsion fracture on the base of the fifth metatarsal operated and followed over 1 year, from February 2000 to May 2002. There were eight men and three women and the average age was 39 years old. The mean follow up period was 14 months. Ten cases were slip-down and one case was fall from a height injuries. We used the modified Foot Score by Wiener for the clinical evaluation, and analyzed the time of union and state of reduction radiologically.
RESULTS
In clinical results, we had ten excellent and one good cases by the modified Foot Score at last follow-up. In radiologic results, the complete bony union was achieved in all cases and the duration of the bony union was 37 days in average.
CONCLUSION
We had good result for the avulsion fractures on the base of the fifth metatarsal treated by the operation. This study shows the operation was recommended for the moderate and severe displacement of the avulsion fractures on the base of the fifth metatarsal.

Keyword

Base of the fifth metatarsal; Avulsion fracture; Operative treatment

MeSH Terms

Adult
Female
Follow-Up Studies
Foot
Humans
Male
Metatarsal Bones*
Retrospective Studies