Refracture of Proximal 5th Metatarsal Stress Fracture in Athletes Treated Operatively

운동 선수군의 제 5중족골 피로골절의 수술적 치료 후 발생한 재골절

  • Lee, Kyung-Tai (Department of Orthopedic Surgery, Eulji General Hospital, Eulji University School of Medicine) ;
  • Young, Ki-Won (Department of Orthopedic Surgery, Eulji General Hospital, Eulji University School of Medicine) ;
  • Kim, Jae-Young (Department of Orthopedic Surgery, Eulji General Hospital, Eulji University School of Medicine) ;
  • Bang, Yu-Sun (Department of Orthopedic Surgery, Eulji General Hospital, Eulji University School of Medicine) ;
  • Lee, Sang-Joon (Department of Orthopedic Surgery, Eulji General Hospital, Eulji University School of Medicine)
  • 이경태 (을지대학교 의과대학 노원을지병원 정형외과학교실) ;
  • 양기원 (을지대학교 의과대학 노원을지병원 정형외과학교실) ;
  • 김재영 (을지대학교 의과대학 노원을지병원 정형외과학교실) ;
  • 방유선 (을지대학교 의과대학 노원을지병원 정형외과학교실) ;
  • 이상준 (을지대학교 의과대학 노원을지병원 정형외과학교실)
  • Published : 2003.06.01

Abstract

Purpose: To evaluate the incidence, contributing factors, and clinical results of refracture of proximal 5th metatarsal stress fracture treated operatively in athletes Materials and Methods: This study included 8 patients who had been treated for refracture of proximal 5th metatarsal stress fracture with operaton. 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. Conclusion: The incidence of refracture of proximal 5th metatarsal stress fracture treated operatively in athletes was relatively high. Time of rerum 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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