| Fractures of the base of the fifth metatarsal: the Jones fracture. | |
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MedLine Citation:
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PMID: 11465126 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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J A Nunley |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The Orthopedic clinics of North America Volume: 32 ISSN: 0030-5898 ISO Abbreviation: Orthop. Clin. North Am. Publication Date: 2001 Jan |
Date Detail:
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Created Date: 2001-07-23 Completed Date: 2001-08-09 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0254463 Medline TA: Orthop Clin North Am Country: United States |
Other Details:
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Languages: eng Pagination: 171-80 Citation Subset: AIM; IM |
Affiliation:
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Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Fracture Fixation Fractures, Bone / surgery* Fractures, Stress / surgery Fractures, Ununited / surgery Humans Metatarsal Bones / injuries* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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