Symptomatisches Os Vesalianum

Rammelt, Stefan; Manke, Elisabeth

doi:10.1016/j.fuspru.2019.03.005

Cited by 12 publications

(3 citation statements)

References 16 publications

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“…Fractures and nonunions of the fifth metatarsal base must be distinguished from accessory bones such as the os peroneum 44 and the os vesalianum 45 .…”

Section: Anatomymentioning

confidence: 99%

“…Refractures or nonunions have been successfully treated with larger-diameter screws and additional augmentation with either BMAC or bone-grafting 48,179,186,187 or with plantar plating and autograft 178 . Excision of small tuberosity fragments has been successfully employed for painful nonunion after a zone-1 fracture 103,104,188,189 as well as for symptomatic accessory bones 44,45 .…”

Section: Complicationsmentioning

confidence: 99%

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Fractures of the Base of the Fifth Metatarsal Bone

Bartoníček

Rammelt

2021

JBJS Reviews

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» Fractures of the proximal fifth metatarsal (PFMT) are one of the most common foot injuries, accounting for 61% to 78% of all foot fractures, but full consensus on their classification, diagnosis, and treatment has not yet been reached.» The most commonly accepted classification is that of Lawrence and Botte, who divided the location of PFMT fractures into 3 zones with respect to their healing potential.» Avulsion fractures of the tuberosity of the base (zone 1) generally heal well, and nonoperative treatment is commonly recommended.» Internal fixation may be considered for displaced fractures that extend into the fourth-fifth intermetatarsal joint (zone 2) as well as for nondisplaced fractures in athletes or high-demand patients, with the aims of reducing the healing time and expediting return to sport or work.» Stress fractures of the proximal diaphysis (zone 3) are preferably treated operatively, particularly in the presence of signs of delayed union. With nonoperative treatment, supportive measures such as ultrasonography or external/extracorporeal shockwave therapy have been demonstrated to have limited potential for the enhancement of fracture-healing.

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“…Fractures and nonunions of the fifth metatarsal base must be distinguished from accessory bones such as the os peroneum 44 and the os vesalianum 45 .…”

Section: Anatomymentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

Fractures of the Base of the Fifth Metatarsal Bone

Bartoníček

Rammelt

2021

JBJS Reviews

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“…Os vesalianum an der Basis des Metatarsale 5 im Bereich der Insertion der M. peroneus brevis Sehne auftreten. Meist wird es als radiologischer Zufallsbefund diagnostiziert, in seltenen Fällen kann es jedoch zu Schmerzen des lateralen Mittelfußes führen [ 25 ].…”

Section: Anatomieunclassified

Peronealsehnenpathologien

et al. 2021

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ZusammenfassungPeronealsehnenpathologien sind selten, jedoch häufig unterdiagnostiziert. Eine Assoziation mit einer chronisch lateralen Sprunggelenkinstabilität sowie mit einer varischen Rückfußachse kann bestehen. Pathologien der Sehnen lassen sich in 3 Kategorien einteilen: Tendinitis und Tenosynovitis, Sehnenrisse und Rupturen sowie Sehnensubluxation und Sehnenluxation. Die Magnetresonanztomographie ist die Standardmethode zur radiologischen Beurteilung. Die Diagnose und Behandlung basieren jedoch in erster Linie auf Anamnese und klinischer Untersuchung. Eine primär konservative Therapie kann versucht werden, ausgenommen bei Peronealsehnenluxationen des professionellen Sportlers. Die chirurgische Therapie sollte gezielt auf die zugrunde liegende Pathologie abgestimmt werden und kann dementsprechend divers von der tendoskopischen Synovektomie bis zur anatomischen Reparatur des superioren peronealen Retinakulums mit Vertiefung der retromalleolären Rinne ausfallen. Die postoperativen Ergebnisse zeigen eine hohe Patientenzufriedenheit und niedrige Reluxationsraten.

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