An Isolated Chronic Osteochondral Fracture of the Third Metatarsal Head Treated With Bioabsorbable Pins

Kurashige, Toshinori; Suzuki, Sohtaro

doi:10.1177/1938640016630064

Cited by 4 publications

(11 citation statements)

References 6 publications

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“…In our series, patients with acute fractures rarely had severe pain, and some could still walk after being injured. This was also noticed by Kurashige et al 4 where a patient could play soccer, but the pain worsened after running long distances. Mild symptoms may be one of the causes for missed diagnosis in the acute phase, as in our case 7.…”

Section: Discussionsupporting

confidence: 65%

“…Various fixation techniques and implants have been utilized for treatment of these fractures. 1,4,6,7,9 We stabilized the fractures by 1 or 2 headless compression screws, or 1 screw and a K-wire, according to the size of the dorsal fragment. In addition to ORIF, dorsal wedge osteotomy and osteochondral autograft transplantation have been reported as treatment options.…”

Section: Discussionmentioning

confidence: 99%

“…6 These fractures can be easily missed in the acute phase because of their rarity, and some patients can walk or even play sports after injury. 4 The optimal treatment of this fracture is controversial, with both open and closed methods having been used with success. 3,6 Dutkowsky and Freeman 3 described an isolated fracture of the third metatarsal head that was treated with closed reduction.…”

Section: Introductionmentioning

confidence: 99%

“…6 These fractures can be easily missed in the acute phase because of their rarity, and some patients can walk or even play sports after injury. 4…”

Section: Introductionmentioning

confidence: 99%

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Isolated Shear Fracture of the Metatarsal Head in Lesser Toes Treated With ORIF: Case Series

Liu

et al. 2020

Foot Ankle Int.

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Background: Isolated shear fractures of a metatarsal head in the lesser toes are rare in clinical practice. We report the clinical and imaging characteristics, and treatment results, of these fractures. Methods: A retrospective consecutive case-series study was performed on 7 patients with symptomatic isolated shear fracture of a metatarsal head in the lesser toes who were operatively treated using open reduction and internal fixation (ORIF). Radiographs and computed tomographic (CT) scans of the patients were analyzed. The American Orthopaedic Foot & Ankle Society–lesser metatarsophalangeal-interphalangeal (AOFAS-LMI) score, visual analog scale (VAS) score, and passive dorsiflexion range of motion (ROM) of the metatarsophalangeal (MTP) joint were determined preoperatively and at final follow-up. Postoperative complications were also recorded. Results: There were 5 males and 2 females, with a mean age of 21 years (range, 16-36) at the time of surgery. Four fractures occurred at the fourth metatarsal. There were 3 chronic cases, 1 was not diagnosed initially; the other 2 failed conservative treatment. The main symptom of the chronic fractures was limited dorsiflexion at the MTP joint. Preoperative radiographs and CT scans revealed dorsal displacement of the fragment without dislocation of the MTP joint. At the final follow-up (mean, 17.4 months; range 9-27), the AOFAS-LMI scores had improved from 70.6 (range, 59-79) preoperatively to 93.3 (range, 92-100) ( P = .001). VAS scores showed a decrease in pain from 4.0 to 0.0 ( P = .016). Mean passive dorsiflexion ROM of the MTP joint improved significantly from 8.6 degrees preoperatively to 35.7 degrees at final follow-up ( P < .001). All patients returned to their respective preinjury activity levels. Conclusion: Patients with an acute or chronic isolated shear fracture of a metatarsal head in the lesser toes treated by ORIF achieved good short-term clinical and radiologic outcomes. Level of Evidence: Level IV, retrospective case series.

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Section: Discussionsupporting

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…6 These fractures can be easily missed in the acute phase because of their rarity, and some patients can walk or even play sports after injury. 4…”

Section: Introductionmentioning

confidence: 99%

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Isolated Shear Fracture of the Metatarsal Head in Lesser Toes Treated With ORIF: Case Series

Liu

et al. 2020

Foot Ankle Int.

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“…The two-Kwire technique described by Atik et al for metatarsophalangeal distraction to allow enough articular space for reduction can be helpful to avoid articular surface damage [7]. Internal fixation can be achieved using Kwires, screws, or bioabsorbable pins [1,2,6,7,9,10,12]. Table 3 represents all cases of traumatic MHOCF reported in the literature in addition to the treatment strategy adopted by each author and their respective outcomes [1,2,[5][6][7][8][9][10]12,13].…”

Section: Discussionmentioning

confidence: 99%

Acute Osteochondral Fracture of the Metatarsal Head: A Report of Two Cases and Review Of Literature

Missaoui¹,

Moussa²,

Boushnak³

et al. 2022

Cureus

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Traumatic osteochondral fractures of metatarsal heads are rare injuries and are scarcely reported in the literature. Their classification and modalities of treatment remain unclear. Herein, we report two cases of traumatic fractures of the articular surfaces of the metatarsal heads in two young patients in which two different modalities of surgical treatment were used to achieve anatomic reduction and congruity of the metatarsophalangeal joints. The postoperative period was uneventful, and good functional and radiological outcomes were achieved in both patients. In this report, we review the literature for similar cases and discuss the available treatment options and their associated complications.

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Bone marrow aspirate concentrate for the treatment of fifth metatarsal head stress fracture: a case report

Nakagawa,

Mitchell,

Sussman

2024

Regenerative Medicine

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An Isolated Chronic Osteochondral Fracture of the Third Metatarsal Head Treated With Bioabsorbable Pins

Abstract: Therapeutic, Level IV: Case study.

Cited by 4 publications

References 6 publications

Isolated Shear Fracture of the Metatarsal Head in Lesser Toes Treated With ORIF: Case Series

Isolated Shear Fracture of the Metatarsal Head in Lesser Toes Treated With ORIF: Case Series

Acute Osteochondral Fracture of the Metatarsal Head: A Report of Two Cases and Review Of Literature

Bone marrow aspirate concentrate for the treatment of fifth metatarsal head stress fracture: a case report

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