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Intra-articular base of 5th metatarsal fractures (Zone 2) – Should we be operating on more of these fractures?

Published:October 11, 2022DOI:https://doi.org/10.1016/j.injury.2022.10.009
      A 21yo man twists his foot while playing pick-up basketball when he missteps on the foot of another player. He suffers a base of 5th intra-articular metatarsal fracture (Zone 2 fracture). He is otherwise unhurt.
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      References

        • Herterich V
        • Baumbach SF
        • Kaiser A
        • Böcker W
        • Polzer H
        Fifth metatarsal fracture—a systematic review of the treatment of fractures of the base of the fifth metatarsal bone.
        Dtsch Arztebl Int. 2021; 118: 587-594https://doi.org/10.3238/arztebl.m2021.0231
        • Bušková K
        • Bartoníček J
        • Rammelt S.
        Fractures of the Base of the fifth metatarsal bone: a critical analysis review.
        JBJS Rev. 2021; 9 (Oct 21PMID: 34673663)https://doi.org/10.2106/JBJS.RVW.21.00010
        • Baumbach SF
        • Prall WC
        • Kramer M
        • Braunstein M
        • Böcker W
        • Polzer H.
        Functional treatment for fractures to the base of the 5th metatarsal - influence of fracture location and fracture characteristics.
        BMC Musculoskelet Disord. 2017; 18 (Dec 16PMID: 29246170; PMCID: PMC5732483): 534https://doi.org/10.1186/s12891-017-1893-6
        • Noori N
        • Abousayed M
        • Guyton GP
        • Coleman MM.
        What is the interrater and intrarater reliability of the lawrence and botte classification system of fifth metatarsal base fractures?.
        Clin Orthop Relat Res. 2022; (Jan 26Epub ahead of print. PMID: 35081080)https://doi.org/10.1097/CORR.0000000000002131
        • Ruta DJ
        • Parker D.
        Jones fracture management in athletes.
        Orthop Clin North Am. 2020; 51 (OctEpub 2020 Aug 12. PMID: 32950224): 541-553https://doi.org/10.1016/j.ocl.2020.06.010
        • Hunt K
        • Goeb Y.
        Dynamic loading assessment at the fifth metatarsal in elite athletes with a history of jones fracture.
        Orthop J Sports Med. 2016; 4 (Jul 292325967116S00123PMCID: PMC4968287)https://doi.org/10.1177/2325967116S00123
        • Wang Y
        • Gan X
        • Li K
        • Ma T
        • Zhang Y.
        Comparison of operative and non-operative management of fifth metatarsal base fracture: a meta-analysis.
        PLoS One. 2020; 15 (Aug 13PMID: 32790794; PMCID: PMC7425975)e0237151https://doi.org/10.1371/journal.pone.0237151
        • Duplantier NL
        • Mitchell RJ
        • Zambrano S
        • Stone AC
        • Delgado DA
        • Lambert BS
        • Moreno MR
        • Harris JD
        • McCulloch PC
        • Lintner DM
        • Varner KE.
        A biomechanical comparison of fifth metatarsal jones fracture fixation methods.
        Am J Sports Med. 2018; 46 (AprEpub 2018 Feb 21. PMID: 29466679): 1220-1227https://doi.org/10.1177/0363546517753376