Percutaneous fixation of avulsion fracture at the plantar lateral base of the first metatarsal using ZipTight Fixation System: A case report

Fukutake, Katsunori; Hattori, Hiroyuki; Sekiguchi, Masayuki; Inoue, Yasuhiro; Kamakura, Daisuke; Tsuji, Kentaro; Kojimahara, Yousuke; Takahashi, Hiroshi; Tsuchiya, Kiichiro

doi:10.1016/j.fas.2018.02.018

Cited by 3 publications

(5 citation statements)

References 11 publications

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“…Pain, swelling and inability to weight bear after the injury were the prevailing symptoms in our patient. This was a common presentation seen in all case reports 2–5 8. The pain was localised to the plantar medial midfoot with an associated fusiform swelling and ecchymosis.…”

Section: Discussionmentioning

confidence: 78%

“…A number of case reports have described the mechanism of injury that can result in an isolated PL tendon avulsion fracture from the base of the first metatarsal. They describe an eccentric contraction of the PL tendon, as the foot and first metatarsal are dorsiflexed and inverted 2–5. The uneven medial incline caused by the inverted position of the foot has shown to activate and stretch the peroneal muscles 6.…”

Section: Discussionmentioning

confidence: 99%

“…The patient was rehabilitated with NWB for 2 weeks, heel touch weight bearing for a further 2 weeks and then full weight bearing. They reported a return to normal activity by 3 months 5…”

Section: Discussionmentioning

confidence: 99%

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Acute surgical treatment of peroneus longus avulsion fracture of the first metatarsal base

Srirangarajan,

Massa,

Kurar

et al. 2023

BMJ Case Rep

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Acute avulsion fracture of the base of the first metatarsal is a rare occurrence, caused by an eccentric contraction of the peroneus longus tendon insertion. A number of case reports have been published outlining various treatment strategies for treating this rare injury. Management plans range from conservative to operative options and include both acute and delayed operative treatments.We present our operative management strategy of an acute avulsion fracture of the base of the first metatarsal. It includes a step-by-step approach including intraoperative clinical photographs and intraoperative image intensifier images. We explain the rationale behind our operative approach and provide insight on the importance of recognising and treating this injury. Initially, this avulsion fracture might seem innocuous but if left untreated may result in disabling functional foot problems.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

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Acute surgical treatment of peroneus longus avulsion fracture of the first metatarsal base

Srirangarajan,

Massa,

Kurar

et al. 2023

BMJ Case Rep

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“…Hodor et al . describes a non-weight bearing strategy of conservative treatment as a choice of regimen for this type of injury; however, Zermatten et al .’s findings were not supportive of this therapy as they were of the view that patient will represent with a painful non-union at 6 months and will require excision of the bony fragment along with arthrodesis following a trial conservative treatment [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…Management options vary from conservative using a lower leg cast [ 1 ] and restricted physical exertion with regular follow-up [ 2 ]. In the case of failed conservative management, we must also consider surgery, which includes percutaneous fixation [ 3 ] or excision of the non-healed fracture fragment and arthrodesis [ 1 ]. This case therefore possesses both a diagnostic and management challenge to doctors who face it.…”

Section: Introductionmentioning

confidence: 99%

Managing rare fractures – a case report of an isolated avulsion fracture of the peroneus longus tendon

Nand

Khan

Sunderamoorthy

2022

Journal of Surgical Case Reports

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Avulsion fractures of the peroneus longus tendon are seldom seen and potentially can go undiagnosed during an emergency visit. If not managed appropriately, it can lead to chronic pain and suffering. This case report presents a 55-year-old postman who was seen in the clinic complaining of persistent pain over the instep of his right foot with no history of trauma. His pain was localized to the first metatarsophalangeal joint with some radiation to the heel. Magnetic resonance imaging revealed an isolated avulsion fracture of the first metatarsal, which was initially missed on X-ray. In this case, the patient was successfully treated with a mixture of steroid and local anesthetic injections. Following our intervention, the Manchester Oxford Foot Questionnaire was reduced from 33 to 0. The goal of this article is to raise awareness of this rare finding for doctors who may face this in accident and emergency (A&E), Orthopedic clinics or at a general practice (GP) practice.

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Metatarsal Fractures

Straus,

Henry,

Clements

2024

Clinics in Podiatric Medicine and Surgery

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Percutaneous fixation of avulsion fracture at the plantar lateral base of the first metatarsal using ZipTight Fixation System: A case report

Cited by 3 publications

References 11 publications

Acute surgical treatment of peroneus longus avulsion fracture of the first metatarsal base

Acute surgical treatment of peroneus longus avulsion fracture of the first metatarsal base

Managing rare fractures – a case report of an isolated avulsion fracture of the peroneus longus tendon

Metatarsal Fractures

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