The surgical treatment of symptomatic nonunions of the proximal (metaphyseal) fifth metatarsal in athletes

A. C. Rettig, K. D. Shelbourne, J. Wilckens

Research output: Contribution to journalArticle

Abstract

Eight athletes developed symptomatic nonunions of the base of the proximal fifth metatarsal in the metaphyseal region. All of the athletes were initially treated conservatively without success. We reviewed their case histories and outlined a simple, effective, low morbidity surgical management of these lesions. Two nonunions successfully healed with internal fixation with an intramedullary compression screw. Five additional nonunions were shelled out through a lateral incision of the peroneus brevis without disturbing its insertion. An eighth nonunion fragment was large and articulated the cuboid; it was fixed successfully with an intramedullary compression screw to preserve lateral foot mechanics. There were no complications. All patients returned to full activities 2 to 4 months after surgery.

Original languageEnglish (US)
Pages (from-to)50-54
Number of pages5
JournalAmerican Journal of Sports Medicine
Volume20
Issue number1
DOIs
StatePublished - Jan 1 1992
Externally publishedYes

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

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