Jones Fracture Management in Athletes

被引：14

作者：

Ruta, David J. ^{[1
]}

Parker, David ^{[2
]}

机构：

[1] Bellin Hlth Titletown Sports Med & Orthoped, 1970 S Ridge Rd, Green Bay, WI 54304 USA

[2] Univ Tennessee, Campbell Clin Orthopaed, 1400 S Germantown Rd, Germantown, TN 38138 USA

来源：

ORTHOPEDIC CLINICS OF NORTH AMERICA | 2020年 / 51卷 / 04期

关键词：

Jones fracture; Fifth metatarsal fracture; Athletes; Intramedullary screw; INTRAMEDULLARY SCREW FIXATION; SERUM 25-HYDROXYVITAMIN D; 5TH METATARSAL DISTAL; STAINLESS-STEEL SCREW; 5TH-METATARSAL JONES; STRESS-FRACTURES; VITAMIN-D; SURGICAL-MANAGEMENT; PLATE FIXATION; BONE-MARROW;

D O I：

10.1016/j.ocl.2020.06.010

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Jones fractures in both elite and recreational athletes are best treated with surgical fixation, given superior results as compared to nonoperative management. While screw specifics remain controversial, intramedullary screw fixation is established as the standard surgical technique. Plate fixation also has shown excellent outcomes. Complications of refracture, nonunion, and delayed union require careful evaluation for contributions of early return to play, implant characteristics, and anatomic/metabolic abnormality. Revision fixation with autograft and biologic augmentation is supported in the literature, with ongoing inquiry to optimizing specific implants and adjuvants. © 2020 Elsevier Inc.

引用

页码：541 / 553

页数：13

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