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KMID : 0896720030070010095
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Journal of the Korean Society of Foot Surgery
2003 Volume.7 No. 1 p.95 ~ p.100
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Refracture of Proximal 5th Metatarsal Stress Fracture in Athletes Treated Operatively
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Lee Kyung-Tai
Kim Jae-Young
Young Ki-Won
Bang Yu-Sun
Lee Sang-Joon
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Abstract
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Purpose: To evaluate the incidence, contributing factors, and clinical results of refracture of proximal 5th metatarsal stress fracture treated operatively in athletes.
Material and Methods : This study included 8 patients who had been treated for refracture of proximal 5th metatarsal stress fracture with operation. Their charts & radiologic findings were evaluated retrospectively.
Results:The overall incidence of refracture was 13%. Main contributing factors were time of return to sports activity and associated deformities such as cavus foot or flat foot. Seven cases were managed with nonoperative treatment, and we added percutaneous pin fixation under local anesthesia in one case. Bony union was seen at average 8. 5 weeks in 7 cases except 1 nonunion and all of 8 patient returned to athletics at average 16 weeks.
Conclusions: The incidence of refracture of proximal 5th metatarsal stress fracture treated operatively in athletes was relatively high. Time of rerurn to sports activity must be decided very carefully on individual situation and further imaging study may be helpful for bony union evaluation. The non-operative treatment may have a good result if bone graft was done initially.
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KEYWORD
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athlete, proximal 5th metatarsal stress fracture, refracture, bony union
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