scholarly journals 181 Prevention of fifth metatarsal bone stress fracture in youth Japanese soccer players

2021 ◽  
Author(s):  
Yoshitomo Saita ◽  
Nagao Masashi ◽  
Kobayashi Yohei ◽  
Kobayashi Keiji ◽  
Wakayama Takanori ◽  
...  
Keyword(s):  
Stress Fracture ◽  
Metatarsal Bone ◽  
Soccer Players ◽  
Bone Stress ◽  
Fifth Metatarsal Bone

Pathoanatomy of the Jones Fracture in Male University Soccer Players

2019 ◽  
Vol 48 (2) ◽  
pp. 424-431
Author(s):  
Kohei Fujitaka ◽  
Yasuhito Tanaka ◽  
Akira Taniguchi ◽  
Munehiro Ogawa ◽  
Shinji Isomoto ◽  
...  
Keyword(s):  
Metatarsal Bone ◽  
Reference Points ◽  
Soccer Players ◽  
Control Group ◽  
Fracture Group ◽  
Jones Fracture ◽  
Foot Structure ◽  
Mapping System ◽  
Tarsal Bones ◽  
Fifth Metatarsal Bone

Background: Jones fractures are relatively common in soccer players and require an extended recovery period because this type of fracture has a high incidence of delayed union, nonunion, and refracture. There has been some previous research on risk factors for Jones fracture, but no study has yet investigated the effect of the length of the fifth metatarsal bone and the positional relationship of the articular surface of the fifth metatarsal bones and the tarsal bones. Clarification of the characteristics of the foot structure that predispose soccer players to Jones fracture may aid in the prevention of this injury. Purpose: To investigate the association between Jones fracture and foot structure as assessed with a mapping system on weightbearing dorsoplantar and lateral foot radiographs. Study Design: Cohort study; Level of evidence, 3. Methods: We used a mapping system to evaluate the radiographs of 60 feet from 30 university soccer players with Jones fractures and a control group of 60 feet from 60 male university soccer players without Jones fracture. The groups were compared regarding the length of the fifth metatarsal and the positions of the metatarsal and tarsal bones. Results: Analysis of weightbearing dorsoplantar foot radiographs showed that the fifth metatarsal was significantly longer and that its proximal tip was positioned more proximally in the Jones fracture group as compared with the control group. Analysis of weightbearing lateral foot radiographs showed that the reference points for the medial arch were significantly higher in the Jones fracture group than in the control group. Conclusion: This study indicated that the proximally longer fifth metatarsal may cause greater stress at the base of the fifth metatarsal bone because the lever arm becomes long. In addition, high medial longitudinal arch may contribute to increased load on the lateral side of the foot. Thus, these anatomic features may be useful to identify soccer players at high risk of Jones fracture at medical checkup.

scholarly journals Cuboid bone stress fracture

2018 ◽  
Author(s):  
Henry Knipe ◽  
Bahman Rasuli
Keyword(s):  
Stress Fracture ◽  
Bone Stress ◽  
Cuboid Bone

The peroneus brevis tendon at its insertion site on fifth metatarsal bone

2016 ◽  
Vol 22 (1) ◽  
pp. 41-45 ◽  
Author(s):  
Nurcan Imre ◽  
Necdet Kocabiyik ◽  
H. Tuba Sanal ◽  
Murat Uysal ◽  
Hasan Ozan ◽  
...  
Keyword(s):  
Insertion Site ◽  
Metatarsal Bone ◽  
Peroneus Brevis ◽  
Fifth Metatarsal Bone

Sural Nerve Entrapment by Avulsion Fracture of the Base of the Fifth Metatarsal Bone

Foot & Ankle ◽  
1981 ◽  
Vol 2 (3) ◽  
pp. 153-155 ◽  
Author(s):  
Nathaniel Gould ◽  
Saul Trevino
Keyword(s):  
Sural Nerve ◽  
Avulsion Fracture ◽  
Metatarsal Bone ◽  
Nerve Entrapment ◽  
Large Piece ◽  
Fifth Metatarsal Bone

Three cases of sural nerve entrapment by an avulsion fracture of the base of the fifth metatarsal bone are reported. The fracture was incurred while running, the foot twisting in a depression in the ground. The fracture included a fairly large piece of bone which avulsed and strutted the overlying sural nerve causing continued pain and dysesthesias for months following the injury. All patients promptly recovered completely following removal of the incriminating, ununited fragment and neurolysis of the sural nerve.

Higher Vertical Stiffness Is Related To Greater Fifth Metatarsal Bone Mineral Density In Football Players

2018 ◽  
Vol 50 (5S) ◽  
pp. 438
Author(s):  
Thomas J. Hockenjos ◽  
Kevin R. Ford ◽  
Justin P. Waxman ◽  
Anh-Dung Nguyen ◽  
Audrey E. Westbrook ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Bone Mineral ◽  
Metatarsal Bone ◽  
Football Players ◽  
Mineral Density ◽  
Vertical Stiffness ◽  
Fifth Metatarsal Bone

Plate Fixation of Proximal Fifth Metatarsal Fracture

2015 ◽  
Vol 105 (5) ◽  
pp. 389-394 ◽  
Author(s):  
Assaf Kadar ◽  
Ran Ankory ◽  
Ronen Karpf ◽  
Elhanan Luger ◽  
Shlomo Elias
Keyword(s):  
Sural Nerve ◽  
Short Form ◽  
Plate Fixation ◽  
Major Complication ◽  
Metatarsal Bone ◽  
Plate Removal ◽  
Metatarsal Fractures ◽  
Foot Function ◽  
Comminuted Fractures ◽  
Fifth Metatarsal Bone

Background Intramedullary screw fixation of fractures of the proximal fifth metatarsal bone may not be satisfactory in comminuted fractures or when the lateral metatarsal bowing has to be restored. We report our experience with plate fixation in these circumstances. Methods Between June 1, 2009, and January 31, 2013, 13 patients who had comminuted fracture or nonunion of fracture of the proximal fifth metatarsal bone underwent plate fixation. Study patients were followed up for a mean of 500 days (range, 51–1238 days). Their medical records and radiographs were retrospectively reviewed for demographic and operative data and radiologic evidence of fracture healing. At their most recent follow-up, patients were evaluated for pain levels with a visual analog scale, for foot function with the Foot and Ankle Disability Index, and for quality of life with the 12-Item Short-Form Health Survey. Results Fracture union was evident in 12 patients after a mean of 56.8 days (range, 30–92 days). There was only one major complication of sural nerve neuroma and reflex sympathetic dystrophy. Four patients required reoperation for plate removal. Plate fixation of proximal fifth metatarsal comminuted fractures is associated with high union rates, relief of pain, and patient satisfaction. However, plate removal for various reasons was required in approximately one-third of the study patients. This high revision rate might be avoided by better selection of patients and meticulous intraoperative identification and preservation of the sural nerve. Conclusions We recommend reserving plate fixation for proximal fifth metatarsal fractures for cases of laterally bowed fifth metatarsal or comminuted fractures.

Treatment of proximal fifth metatarsal bone fractures in athletes

Injury ◽  
2015 ◽  
Vol 46 ◽  
pp. S134-S136 ◽  
Author(s):  
M. Japjec ◽  
M. Starešinić ◽  
M. Starjački ◽  
I. Žgaljardić ◽  
J. Štivičić ◽  
...  
Keyword(s):  
Bone Fractures ◽  
Metatarsal Bone ◽  
Fifth Metatarsal Bone

scholarly journals The Fifth Metatarsal Bone Fracture In Athletes ‐ Modalities of Treatment Related to Agility In Soccer Players

2021 ◽  
Vol 79 (1) ◽  
pp. 101-110
Author(s):  
Krzysztof Ficek ◽  
Natalia Kędra ◽  
Radosław Skowronek ◽  
Kamila Kluczniok ◽  
Magdalena Strózik ◽  
...  
Keyword(s):  
Bone Fracture ◽  
Metatarsal Bone ◽  
Return To Play ◽  
Soccer Players ◽  
Professional Soccer ◽  
Fracture Stabilization ◽  
Limb Loading ◽  
Metatarsal Fracture ◽  
Foot Fracture ◽  
Percutaneous Internal Fixation

Abstract The 5th metatarsal fracture is a common foot fracture which could exclude a player from competition for several months and significantly affect his or her career. This manuscript presents the treatment and rehabilitation of professional soccer players who had acute fractures of the 5th metatarsal bone and a cannulated screw fixation. The main purpose of the analysis was to determine the minimum time necessary for a permanent return to the sport after a 5th metatarsal fracture among professional soccer players. We followed the surgical and rehabilitation path of 21 professional soccer players from the Polish League (Ist and IInd divisions) who suffered from the 5th metatarsal bone fracture. All players underwent standard percutaneous internal fixation with the use of cannulated screws. The total inability to play lasted for 9.2 (± 1.86) weeks among players treated only surgically (n = 10), 17.5 (± 2.5) weeks in the conservative and later surgery group, excluding players with nonunion (n = 6), and 24.5 (± 10.5) weeks for nonunion and switch treatment (n = 4) players. Prompt fracture stabilization surgery is recommended for athletes, enabling the implementation of an aggressive rehabilitation protocol as soon as possible. Early limb loading after surgery (from week 2) does not delay fracture healing or hinder the bone union, thus rehabilitation plays a crucial role in shortening the time of RTP (return to play) and is obligatory for each athlete who undergoes surgical treatment.

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