Skip to main content
SpringerLink
Log in

Cave Pseudarthrose!

Basisnahe Metatarsale-V-Frakturen

  • FORTBILDUNG
  • ÜBERSICHT
  • Published:
MMW - Fortschritte der Medizin Aims and scope

Bei Frakturen des Os metatarsale V kommt es wegen der kritischen Blutversorgung im meta-/diaphysären Übergang häufig zu einer verzögerten Frakturheilung. Das Risiko einer Pseudarthroseentstehung ist erhöht.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1a
Abb. 1b
Abb. 2
Abb. 3

Literatur

  1. Zenios M, Kim WY, Sampath J, Muddu BN: Functional treatment of acute metatarsal fractures: a prospective randomised comparison of management in a cast versus elasticated support bandage. Injury 2005, 36(7):832–835.

    Article  PubMed  CAS  Google Scholar 

  2. Spector FC, Karlin JM, Scurran BL, Silvani SL: Lesser metatarsal fractures. Incidence, management, and review. J Am Podiatry Assoc 1984, 74(6):259–264.

    PubMed  CAS  Google Scholar 

  3. Cakir H, Van Vliet-Koppert ST, Van Lieshout EM, De Vries MR, Van Der Elst M, Schepers T: Demographics and outcome of metatarsal fractures. Arch Orthop Trauma Surg 2010.

  4. Zwitser EW, Breederveld RS: Fractures of the fifth metatarsal; diagnosis and treatment. Injury 2010, 41(6):555–562.

    Article  PubMed  CAS  Google Scholar 

  5. Court-Brown CM, Caesar B: Epidemiology of adult fractures: A review. Injury 2006, 37(8):691–697.

    Article  PubMed  Google Scholar 

  6. Rammelt S, Heineck J, Zwipp H: Metatarsal fractures. Injury 2004, 35 Suppl 2:SB77–86.

    PubMed  Google Scholar 

  7. Dameron TB, Jr.: Fractures and anatomical variations of the proximal portion of the fifth metatarsal. J Bone Joint Surg Am 1975, 57(6):788–792.

    PubMed  Google Scholar 

  8. Lawrence SJ, Botte MJ: Jones’ fractures and related fractures of the proximal fifth metatarsal. Foot Ankle 1993, 14(6):358–365.

    PubMed  CAS  Google Scholar 

  9. Quill GE, Jr.: Fractures of the proximal fifth metatarsal. Orthop Clin North Am 1995, 26(2):353–361.

    PubMed  Google Scholar 

  10. Beck M, Mittlmeier T: [Metatarsal fractures]. Unfallchirurg 2008, 111(10):829–839; quiz 840.

    Article  PubMed  CAS  Google Scholar 

  11. Hellpap W: [the Neglected Lower Ankle. The "Fracture" Line of Supination.]. Arch Orthop Unfallchir 1963, 55:289–300.

    Article  PubMed  CAS  Google Scholar 

  12. Jones R: I. Fracture of the Base of the Fifth Metatarsal Bone by Indirect Violence. Ann Surg 1902, 35(6):697–700 692.

    PubMed  CAS  Google Scholar 

  13. Richter M. ZS, Geerling J., Krettek C.: Metatarsal Fractures. Akt Traumatol 2004, 34:8.

    Google Scholar 

  14. Gehrmann RM, Renard RL: Current concepts review: Stress fractures of the foot. Foot Ankle Int 2006, 27(9):750–757.

    PubMed  Google Scholar 

  15. Torg JS, Balduini FC, Zelko RR, Pavlov H, Peff TC, Das M: Fractures of the base of the fifth metatarsal distal to the tuberosity. Classification and guidelines for non-surgical and surgical management. J Bone Joint Surg Am 1984, 66(2):209–214.

    PubMed  CAS  Google Scholar 

  16. Stiell IG, Greenberg GH, McKnight RD, Nair RC, McDowell I, Worthington JR: A study to develop clinical decision rules for the use of radiography in acute ankle injuries. Ann Emerg Med 1992, 21(4):384–390.

    Article  PubMed  CAS  Google Scholar 

  17. Geyer M, Sander-Beuermann A, Wegner U, Wirth CJ: [Stress reactions and stress fractures in the high performance athlete. Causes, diagnosis and therapy]. Unfallchirurg 1993, 96(2):66–74.

    PubMed  CAS  Google Scholar 

  18. Kanz KG, Eitel F, Waldner H, Schweiberer L: [Development of clinical algorithms for quality assurance in management of multiple trauma]. Unfallchirurg 1994, 97(6):303–307.

    PubMed  CAS  Google Scholar 

  19. Khalil PN, Kleespies A, Angele MK, Thasler WE, Siebeck M, Bruns CJ, Mutschler W, Kanz KG: The formal requirements of algorithms and their implications in clinical medicine and quality management. Langenbecks Arch Surg 2011, 396(1):31–40.

    Article  PubMed  Google Scholar 

  20. East ad hoc committee on guideline development. http://www.east.org abgerufen am 01.07.2004

  21. Dameron TB, Jr.: Fractures of the Proximal Fifth Metatarsal: Selecting the Best Treatment Option. J Am Acad Orthop Surg 1995, 3(2):110–114.

    PubMed  Google Scholar 

  22. Hatch RL, Alsobrook JA, Clugston JR: Diagnosis and management of metatarsal fractures. Am Fam Physician 2007, 76(6):817–826.

    PubMed  Google Scholar 

  23. Rosenberg GA, Sferra JJ: Treatment strategies for acute fractures and nonunions of the proximal fifth metatarsal. J Am Acad Orthop Surg 2000, 8(5):332–338.

    PubMed  CAS  Google Scholar 

  24. Van Aaken J, Berli MC, Noger M, Gambirasio R, Fritschy D: [Symptomatic treatment of non-displaced avulsion and Jones fractures of the fifth metatarsal: a prospective study]. Rev Med Suisse 2007, 3(120):1792–1794.

    PubMed  Google Scholar 

  25. O’Shea MK, Spak W, Sant’Anna S, Johnson C: Clinical perspective of the treatment of fifth metatarsal fractures. J Am Podiatr Med Assoc 1995, 85(9):473–480.

    PubMed  Google Scholar 

  26. Husain ZS, DeFronzo DJ: A comparison of bicortical and intramedullary screw fixations of Jones’ fractures. J Foot Ankle Surg 2002, 41(3):146–153.

    Article  PubMed  Google Scholar 

  27. Khanduja V, Lim CB, Vemulapalli KK, Lee CM, Banan H: Detachable functional focused rigidity cast for metatarsal fractures. Br J Nurs 2006, 15(5):282–284.

    PubMed  Google Scholar 

  28. Mologne TS, Lundeen JM, Clapper MF, O’Brien TJ: Early screw fixation versus casting in the treatment of acute Jones fractures. Am J Sports Med 2005, 33(7):970–975.

    Article  PubMed  Google Scholar 

  29. Fetzer GB, Wright RW: Metatarsal shaft fractures and fractures of the proximal fifth metatarsal. Clin Sports Med 2006, 25(1):139–150, x.

    Article  PubMed  Google Scholar 

  30. Nunley JA: Fractures of the base of the fifth metatarsal: the Jones fracture. Orthop Clin North Am 2001, 32(1):171–180.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, D-81675, München, Deutschland

    Marc Beirer

Authors
  1. Marc Beirer
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. N. Harrasser
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. F. Schmidutz
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. K.-G. Kanz
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. P. Biberthaler
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. C. Kirchhoff
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Marc Beirer.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Beirer, M., Harrasser, N., Schmidutz, F. et al. Cave Pseudarthrose!. MMW - Fortschritte der Medizin 155, 53–55 (2013). https://doi.org/10.1007/s15006-013-0111-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s15006-013-0111-1

Keywords - Therapeutic approach to fractures of the proximal fifth metatarsal bone

Search

Navigation