Isolated slipped-retroverted osteochondral fracture of second metatarsal head

An Unusual Osteochondral Articular Surface Fracture of Second Metatarsal Head: A Case Report

“…Isolated osteochondral fracture of the metatarsal head is a rare injury pattern [1][2][3][4][5][6][7]. These fractures are usually seen at the second metatarsal [1][2][3][4][5][6][7].…”

“…These fractures are usually seen at the second metatarsal [1][2][3][4][5][6][7]. The second metatarsal is the longest and is subjected to the greatest reactive ground forces during ambulation [7].…”

“…However, osteochondral fractures of the third and fourth metatarsal head have been reported in the literature [1,2]. This type of fracture can occur as a result of direct trauma or shear force on metatarsal head [1][2][3][4][5][6]. Some authors stated that direct trauma is the primary mechanism of injury [1,6].…”

“…This type of fracture usually occurs in weightbearing joints such as the knee and ankle [2]. An isolated osteochondral fracture of metatarsal head is extremely rare and a few numbers of cases have been reported [1][2][3][4][5][6]. The treatment of these fractures is controversial.…”

“…The treatment of these fractures is controversial. Conservative and surgically treated cases with various clinical results have been reported in the literature [1][2][3][4][5][6]. Different fixation techniques were utilized in previously published surgically treated cases [1][2][3][4][5].…”