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Endoscopic bone grafting for management of nonunion of the tuberosity avulsion fracture of the fifth metatarsal

  • Arthroscopy and Sports Medicine
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Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

The most common fracture of the proximal fifth metatarsal is the tuberosity avulsion fracture. Most of the time, the fracture is relatively undisplaced and it can be treated conservatively with a hard-soled shoe or walking cast. For painful intra-articular nonunion, internal fixation with or without bone graft is the treatment of choice. We describe an endoscopic approach to treat nonunions of the tuberosity avulsion fracture. Under endoscopic guidance, the nonunion site can be debrided thoroughly and bone grafted without the need of extensive soft tissue dissection. Moreover, the condition of the fifth metatarsal cuboid articulation can be assessed and intra-articular pathology can be dealed with arthroscopically. Finally, the desired position of the screw can be guided by the arthroscopic aiming device.

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References

  1. Richli WR, Rosenthal DI (1984) Avulsion fracture of the fifth metatarsal: experimental study of pathomechanics. AJR Am Roentgenol 143:889–891

    CAS  Google Scholar 

  2. Rettig AC, Shelbourne KD, Wilckens J (1992) The surgical treatment of symptomatic nonunions of the proximal (metaphyseal) fifth metatarsal in athletes. Am J Sports Med 20:50–54

    Article  PubMed  CAS  Google Scholar 

  3. Kim SJ, Yang KH, Moon SH, Lee SC (1999) Endoscopic bone graft for delayed union and nonunion. Arthroscopy 15(3):324–329

    Article  PubMed  CAS  Google Scholar 

  4. Kim SJ, Shin SJ, Yang KH, Moon SH, Lee SC (2000) Endoscopic bone graft for delayed union and nonunion. Yonsei Med J 41(1):107–111

    PubMed  CAS  Google Scholar 

  5. Lui TH (2007) Arthroscopic tarsometatarsal (Lisfranc) arthrodesis. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-006-0142-6

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Correspondence to Tun Hing Lui.

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Lui, T.H. Endoscopic bone grafting for management of nonunion of the tuberosity avulsion fracture of the fifth metatarsal. Arch Orthop Trauma Surg 128, 1305–1307 (2008). https://doi.org/10.1007/s00402-007-0556-8

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  • DOI: https://doi.org/10.1007/s00402-007-0556-8

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