{"id":2338,"date":"2020-10-06T20:31:47","date_gmt":"2020-10-06T15:01:47","guid":{"rendered":"http:\/\/sportscientistsviews.com\/?p=2338"},"modified":"2021-10-19T21:03:05","modified_gmt":"2021-10-19T15:33:05","slug":"comparative-study-conservative-operative-treatment-fifth-metatarsal-base-fracture-young-adults-athletes","status":"publish","type":"post","link":"https:\/\/sportscientistsviews.com\/old\/2020\/10\/comparative-study-conservative-operative-treatment-fifth-metatarsal-base-fracture-young-adults-athletes\/","title":{"rendered":"COMPARATIVE STUDY BETWEEN CONSERVATIVE AND OPERATIVE TREATMENT OF FIFTH METATARSAL BASE FRACTURE IN YOUNG ADULTS AND ATHLETES"},"content":{"rendered":"

doi\u00a0no.:\u00a0<\/strong><\/span>05-2016-44975451<\/a><\/span>,\u00a0DOI Link ::\u00a0http:\/\/doi-ds.org\/doilink\/10.2020-13992563\/<\/a><\/u><\/span><\/strong><\/span><\/p>\n

\n

Dr. Ranjit Kumar Dutta1<\/sup><\/strong><\/p>\n

\n

Affiliation :<\/strong><\/p>\n

    \n
  1. B.B.S., M.S (Ortho), Dip. In Sports Med. (JU), Associate professor, Department of Orthopedic Surgery, Jagannath Gupta Institute of Medical science & Hospital, 137, K.P. Mondal Road, Buita, Budge Budge, Kolkata \u2013 700137, duttaranjitkumar1952@gmail.com<\/a><\/li>\n<\/ol>\n
    \n

    ABSTRACT<\/strong><\/span><\/h3>\n
    \n

    Fifth metatarsal base fracture is a common foot injury in young adults and athletes. This study was done to compare between conservative and surgical treatment in displaced avulsion fracture of fifth metatarsal base in young adults and athletes. Forty-eight patients with displaced fifth metatarsal base avulsion fracture were selected by randomization. Four (8.33%) patients were lost to follow up. Conservative group were immobilized with below knee P.O.P. cast, while operative group were treated by closed reduction and fixation with percutaneous screw or tension band wiring. All patients were followed up at 3 months, 6 months and 12 months. All cases had primary union except for 4 (Four) patients from conservative group and 1 (one) patient from operative group. In conservative group 2 patients results in mal union and 2 with frequent mild to moderate plantar pain. There was non-union of one patient from operative group. The result was better in operative group at 6 months after treatment, but there was no significant difference at 3 months and 12 months. The average time of full weight bearing and returning to work was significantly shortened in operative group than conservative group.<\/p>\n

    \n

    Keywords: <\/strong>Avulsion fractures, closed reduction, conservative treatment, fifth metatarsal base fixation<\/p>\n

    \n
    DOWNLOAD FULL TEXT:<\/span><\/a>\u00a0<\/a><\/strong>\u00a0<\/strong>\"url\"<\/a><\/h5>\n
    \n

    BIBLIOGRAPHY<\/strong><\/span><\/h3>\n
    \n

    Jones, R.1.(1902),<\/strong>\u00a0 Fracture of the base of the fifth Metatarsal bone by indirect violence. Ann Surg. 35: 697-700<\/p>\n

    Quil G E. (1995),<\/strong> Fractures of the proximal fifth Metatarsal, Orthop Clin North AM , 26: 353-361<\/p>\n

    Gen-Bin Wu<\/a><\/strong>\u00a0<\/sup><\/strong>,\u00a0 <\/strong>Bing Li<\/a><\/strong>\u00a0<\/sup><\/strong> and \u00a0<\/strong>Yun-Feng Yang<\/a><\/strong>\u00a0<\/sup> (2017), <\/strong>Comparative study of surgical and conservative treatment for fifth metatarsal base avulsion fracture (Type-1) in young adults or athletes. Journal of Orthopaedic Surgery,\u00a0 26(1) : 1-5.<\/p>\n

    Akiman, P.I., Cowthron, K.L., Dakin, W.M, et.al. (2016),<\/strong>\u00a0 Symptomatic treatment or cast immobilisation for avulsion fractures of the base of fifth metatarsal. A prospective, randomised, single -blinded controlled trial. Bone joint, 98-b: 806-811<\/p>\n

    Husain ZS & De Fronzo DJ (2000),<\/strong>\u00a0 Relative stability of tension band versus two-cortex screw fixation for treating fifth metatarsal base avulsion fractures. J foot ankle Surg 39: 89-95.<\/p>\n

    Porter, D.A., Duncan, M . and\u00a0 Meyer, S. J. (2005),<\/strong>\u00a0 Fifth Metatarsal Jone\u2019s Fracture fixation with a 4.5 mm canulated stainless steel screw in the competitive and recreational athletes. A clinical and radiographic evaluation. AM J sports Med. 33: 726-733<\/p>\n

    Mologne, T.S., Lundeen, J.M., Clapper, M.F. and\u00a0 O\u2019Brien, T.J. (2005),<\/strong>\u00a0 Early screw fixation versus casting in the treatment of Acute Jones Fracture. AM J. Sports Med. 33: 970-975<\/p>\n

    Sarimo, J., Rantanen, J. and\u00a0 Oravas, A. J.(2006),<\/strong>\u00a0 Tension \u2013 Band wiring for fractures of the fifth metatarsal located in the junction of the proximal metaphysis and diaphysis. AM J. Sports Med. 34: 476-480.<\/p>\n","protected":false},"excerpt":{"rendered":"

    doi\u00a0no.:\u00a005-2016-44975451,\u00a0DOI Link ::\u00a0http:\/\/doi-ds.org\/doilink\/10.2020-13992563\/ Dr. Ranjit Kumar Dutta1 Affiliation : B.B.S., M.S (Ortho), Dip. In Sports Med. (JU), […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[57,62,61],"tags":[],"class_list":["post-2338","post","type-post","status-publish","format-standard","hentry","category-2020-2020","category-july-2020","category-volume-10-number-3"],"acf":[],"yoast_head":"\nCOMPARATIVE STUDY BETWEEN CONSERVATIVE AND OPERATIVE TREATMENT OF FIFTH METATARSAL BASE FRACTURE IN YOUNG ADULTS AND ATHLETES - INDIAN JOURNAL OF PHYSICAL EDUCATION, SPORTS AND APPLIED SCIENCES<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sportscientistsviews.com\/old\/2020\/10\/comparative-study-conservative-operative-treatment-fifth-metatarsal-base-fracture-young-adults-athletes\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"COMPARATIVE STUDY BETWEEN CONSERVATIVE AND OPERATIVE TREATMENT OF FIFTH METATARSAL BASE FRACTURE IN YOUNG ADULTS AND ATHLETES - INDIAN JOURNAL OF PHYSICAL EDUCATION, SPORTS AND APPLIED SCIENCES\" \/>\n<meta property=\"og:description\" content=\"doi\u00a0no.:\u00a005-2016-44975451,\u00a0DOI Link ::\u00a0http:\/\/doi-ds.org\/doilink\/10.2020-13992563\/ Dr. Ranjit Kumar Dutta1 Affiliation : B.B.S., M.S (Ortho), Dip. 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