Fifth metatarsal tuberosity avulsion fractures: a new surgical technique without metal implant

F.F. Sesti, F. Oliva, R. Iundusi
Original Article, 236-240
doi: 10.32098/mltj.02.2019.12
Full text PDF

Background. Lawrence and Botte classified in the 1993 the fractures of 5MTB in a Zone 1 (tuberosity avulsion fracture), Zone 2 (Jones fracture), and Zone 3 (stress diaphyseal fractures). Despite good outcomes with non-operative treatment, displacement, intra-articular involvement, comminution or painful non-union of Zone 1 fracture have been reported to benefit with early open reduction and fixation. We considered a Zone 1 fracture (tuberosity avulsion) with displacement of the segment from the metatarsal metaphysis > 2 mm.
Surgical technique. We describe a surgical procedure for the tuberosity avulsion fractures (Zone 1 of Lawrence and Botte classification or type I-B of Mehlhorn classification) using FiberWire or Vycril sutures.
Conclusions. This technique, without using metal implant, provides a theoretically lower rate of infections, could be useful in patients referring metal allergy or hypersensitivity to metal implants and it is not necessary the fluoroscopic guidance.

Keywords: fifth metatarsal bone, foot fractures, Peroneus Brevis Tendon, surgery.,

Table of Content: Vol.9 (No.2) 2019 April/June

  1. Ligamentum capitis femoris: first written mentions

    S.V. Arkhipov, D.V. Skvortsov
    Original Article, 156-164
    doi: 10.32098/mltj.02.2019.01
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  2. The anatomical characteristics of Vietnamese adult hip joint: a multiplanar reconstruction computer tomographic study

    D. Tran Trung, H. Pham Trung, M. Truong Cong, N. Maffulli, T. Nguyen Trung
    Original Article, 165-172
    doi: 10.32098/mltj.02.2019.02
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  3. Evolution of isokinetic strength and return to sport after proximal hamstring rupture without surgical repair: a retrospective series of cases

    A. Fouasson-Chailloux, P. Menu, O. Mesland, Y. Guillodo, V. Crenn, M. Dauty
    Original Article, 173-180
    doi: 10.32098/mltj.02.2019.03
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  4. Iliotibial Band Friction Syndrome: A Systematic Review and Meta-analysis to evaluate lower-limb biomechanics and conservative treatment

    V. Balachandar, M. Hampton, O. Riaz, S. Woods
    Original Article, 181-193
    doi: 10.32098/mltj.02.2019.05
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  5. Combined reconstruction of the medial patellotibial and patellofemoral ligaments

    N. Maffulli, R. Aicale, D. Tarantino, D. A. Young
    Original Article, 194-201
    doi: 10.32098/mltj.02.2019.06
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  6. Repair of antero lateral ligament injuries in acute anterior cruciate ligament tears: an in vivo study using navigation

    E. Monaco, A. Ponzo, D. Lupariello, P. Rota, M. Fabbri, R. Lanzetti, D. Mazza, A. Ferretti
    Original Article, 202-209
    doi: 10.32098/mltj.02.2019.07
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  7. Isokinetic strength profile of subjects with proximal patellar tendinopathy

    J.F. Kaux, J.L. Croisier, V, Libertiaux
    Original Article, 210-216
    doi: 10.32098/mltj.02.2019.08
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  8. Histological alterations to the hamstring tendon caused by cleaning during autograft preparation

    Y. Okazaki, T. Furumatsu, A. Maehara, S. Miyazawa, Y. Kamatsuki, T. Hino, T. Ozaki
    Original Article, 217-224
    doi: 10.32098/mltj.02.2019.10
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  9. Teenagers’ perceptions of their scoliotic curves. An observational study of comparison between sports people and non- sports people

    A. Notarnicola, G. Farì, G. Maccagnano, A. Riondino, I. Covelli, F. P. Bianchi, S. Tafuri, A. Piazzolla, B. Moretti
    Original Article, 225-235
    doi: 10.32098/mltj.02.2019.11
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  10. Fifth metatarsal tuberosity avulsion fractures: a new surgical technique without metal implant

    F.F. Sesti, F. Oliva, R. Iundusi
    Original Article, 236-240
    doi: 10.32098/mltj.02.2019.12
    Full text PDF

  11. Reconstruction of acute distal biceps tendon ruptures with ToggleLoc. Clinical, functional and radiographic outcomes at 5-year follow-up

    R.M. Lanzetti, D. Lupariello, D. Topa, M. Spoliti
    Original Article, 241-245
    doi: 10.32098/mltj.02.2019.13
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  12. Comparison of distal versus proximal-distal kinesio taping effects on gait initiation profile in athletes with functional ankle instability

    S. Fereydounnia, A. Shadmehr, B. Attarbashi Moghadam, S. Talebian Moghadam, S. Mohsen Mir, S. Salemi, F. Pourkazemi
    Original Article, 246-254
    doi: 10.32098/mltj.02.2019.14
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  13. Effects of supraphysiological doses of nandrolone decanoate in Achilles tendon of rats

    P. Pires Marques, N. Mota Porto, C. Pedrozo Vieira, L. Prado Oliveira, A. Esteves, W. Costa Rossi Júnior, E. Rosa Pimente, F. Da Ré Guerra
    Original Article, 255-261
    doi: 10.32098/mltj.02.2019.15
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  14. Extracorporeal Shockwave Therapy of Healthy Achilles Tendons Results in a Conditioned Pain Modulation Effect: A Randomised Exploratory Cross-Over Trial

    P. Vallance, P. Malliaras
    Original Article, 262-271
    doi: 10.32098/mltj.02.2019.16
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  15. Which leg immobilized patient gains the most from Intermittent Pneumatic Compression in DVT-prevention?

    R. Juthberg, G. Edman, P.W. Ackermann
    Original Article, 272-281
    doi: 10.32098/mltj.02.2019.18
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  16. The efficacy of knee orthoses following anterior cruciate ligament injury. Review of literature

    M. Karimi
    Review, 282-294
    doi: 10.32098/mltj.02.2019.19
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  17. Musculoskeletal Health Questionnaire: translation, cultural adaptation and validation of the Italian version (MSK-HQ-I)

    G. Galeoto, V. Piepoli, E. Ciccone, R. Mollica, C. Federici, F. Magnifica, A. Servadio
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    doi: 10.32098/mltj.02.2019.20
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  18. Retraction

    Retraction, 304
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