Intramedullary Screw Fixation of a Proximal Fifth Metatarsal Stress Fracture in an Elite Athlete: A Case Report

Abstract

Intramedullary screw fixation of proximal fifth metatarsal fractures is a simple surgical procedure, enabling early postoperative weight-bearing and subsequently rapid return to competitive sport, which is of great significance for elite athletes. The procedure is described in an elite basketball player in this article. Pes cavus and hindfoot varus alignment potentiate cyclic loading onto the fifth metatarsal and should be addressed as it may represent underestimated factors concerning fracture prognosis.

Keywords

intramedullary screw fixation - proximal fifth metatarsal fracture - pes cavus - hindfoot varus

• References

• 1 Kavanaugh JH, Brower TD, Mann RV. The Jones fracture revisited. J Bone Joint Surg Am 1978; 60 (06) 776-782
• 2 Kline A. A review of the Jones fracture with simple classification for conservative versus surgical treatment. Podiatry Internet J 2006; 1 (01) 10
• 3 Eisele SA, Sammarco GJ. Fatigue fractures of the foot and ankle in the athlete. J Bone Joint Surg Am 1993; 75 (02) 290-298
• 4 Bluth B, Eagan M, Otsuka NY. Stress fractures of the lateral rays in the cavovarus foot: indication for surgical intervention. Orthopedics 2011; 34 (10) e696-e699
• 5 Kline A. Intramedullary fixation of the jones fracture: a case report. Foot Ankle Online J 2009; 2 (06) 2
• 6 Lehman RC, Torg JS, Pavlov H, DeLee JC. Fractures of the base of the fifth metatarsal distal to the tuberosity: a review. Foot Ankle 1987; 7 (04) 245-252
• 7 Wukich DK, Rhim B, Dial DM. Failed intramedullary screw fixation of a proximal fifth metatarsal fracture (Jones fracture) in a division I athlete: a case report. Foot Ankle Online J 2009; 2 (06) 1
• 8 Chuckpaiwong B, Queen RM, Easley ME, Nunley JA. Distinguishing Jones and proximal diaphyseal fractures of the fifth metatarsal. Clin Orthop Relat Res 2008; 466 (08) 1966-1970