Document Detail

Fractures of the base of the fifth metatarsal: the Jones fracture.
MedLine Citation:
PMID:  11465126     Owner:  NLM     Status:  MEDLINE    
The Jones fracture continues to be a problem fracture for the orthopedic surgeon and sports medicine physician. This injury seems to occur in athletes as well as nonathletes. The underlying inherent poor blood supply of the proximal metaphyseal diaphyseal region makes the fifth metatarsal a difficult bone to unite. Many techniques have been advocated for the treatment of this troublesome fracture, including non-weight-bearing short leg casting, orthotic management, open reduction and internal fixation, corticocancellous onlay bone grafting, and electric stimulation. The author believes that in young athletic patients, using meticulous surgical technique, reliable open reduction and internal fixation yields excellent results. In nonathletic or less demanding patients, the patient should participate in the discussion and choice of the treatment techniques. If delayed union or non-union occurs, drilling with the use of internal fixation usually produces a union.
J A Nunley
Related Documents :
8946186 - Ipsilateral fractures of the talus and calcaneus.
12631486 - Closed reduction transarticular kirschner wire fixation versus open reduction internal ...
9888686 - Results of treatment of chronic dorsal fracture-dislocations of the proximal interphala...
8637066 - Closed reduction of coronal fractures of the capitellum.
22288886 - Extrinsic and intrinsic risk factors associated with injuries in young dancers aged 8-1...
15125796 - Arthritis induces lymphocytic bone marrow inflammation and endosteal bone formation.
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Orthopedic clinics of North America     Volume:  32     ISSN:  0030-5898     ISO Abbreviation:  Orthop. Clin. North Am.     Publication Date:  2001 Jan 
Date Detail:
Created Date:  2001-07-23     Completed Date:  2001-08-09     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0254463     Medline TA:  Orthop Clin North Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  171-80     Citation Subset:  AIM; IM    
Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Fracture Fixation
Fractures, Bone / surgery*
Fractures, Stress / surgery
Fractures, Ununited / surgery
Metatarsal Bones / injuries*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Soft tissue reconstruction for calcaneal fractures or osteomyelitis.
Next Document:  Salvage or amputation after complex foot and ankle trauma.