Difference between revisions of "X-ray of proximal fractures of the fifth metatarsal"
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In radiology, proximal fractures of the fifth toe are most appropriately classified by their location: | In radiology, proximal fractures of the fifth toe are most appropriately classified by their location: | ||
*A '''proximal diaphysis''' fracture is typically a stress fracture, commonly among athletes.<ref name=Bica2016>{{cite journal| author=Bica D, Sprouse RA, Armen J| title=Diagnosis and Management of Common Foot Fractures. | journal=Am Fam Physician | year= 2016 | volume= 93 | issue= 3 | pages= 183-91 | pmid=26926612 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26926612 }}</ref><ref name=NSW2017>{{cite web|title=5th Metatarsal|url=https://www.aci.health.nsw.gov.au/networks/eci/clinical/clinical-resources/clinical-tools/orthopaedic-and-musculoskeletal/musculoskeletal-orthopaedic-guide/5th-metatarsal|website=Emergency Care Institute, New South Wales|date=2017-09-19}}</ref> | *A '''proximal diaphysis''' fracture is typically a stress fracture, commonly among athletes.<ref name=Bica2016>{{cite journal| author=Bica D, Sprouse RA, Armen J| title=Diagnosis and Management of Common Foot Fractures. | journal=Am Fam Physician | year= 2016 | volume= 93 | issue= 3 | pages= 183-91 | pmid=26926612 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26926612 }}</ref><ref name=NSW2017>{{cite web|title=5th Metatarsal|url=https://www.aci.health.nsw.gov.au/networks/eci/clinical/clinical-resources/clinical-tools/orthopaedic-and-musculoskeletal/musculoskeletal-orthopaedic-guide/5th-metatarsal|website=Emergency Care Institute, New South Wales|date=2017-09-19}}</ref> | ||
− | *A '''metaphysis or "Jones fracture"'''; Due to poor blood supply in this area, such a fracture sometimes does not heal and surgery is required.<ref name=AO2017>{{cite web|title=Toe and Forefoot Fractures|url=http://orthoinfo.aaos.org/topic.cfm?topic=a00165|website=OrthoInfo - AAOS|accessdate=15 October 2017|date=June 2016|deadurl=no|archiveurl=https://web.archive.org/web/20171016013850/http://orthoinfo.aaos.org/topic.cfm?topic=a00165|archivedate=16 October 2017|df=}}</ref> | + | *A '''metaphysis fracture or "Jones fracture"'''; Due to poor blood supply in this area, such a fracture sometimes does not heal and surgery is required.<ref name=AO2017>{{cite web|title=Toe and Forefoot Fractures|url=http://orthoinfo.aaos.org/topic.cfm?topic=a00165|website=OrthoInfo - AAOS|accessdate=15 October 2017|date=June 2016|deadurl=no|archiveurl=https://web.archive.org/web/20171016013850/http://orthoinfo.aaos.org/topic.cfm?topic=a00165|archivedate=16 October 2017|df=}}</ref> |
− | *A '''tuberosity fracture | + | *A '''tuberosity fracture or "pseudo-Jones fracture"/"dancer's fracture"'''.<ref>{{cite web |url= http://emedicine.medscape.com/article/825060-overview |title= Foot Fracture |author = Robert Silbergleit |publisher = Medscape.com |accessdate= 19 October 2011}}</ref> It is typically an avulsion fracture.<ref>{{cite web |url= http://emedicine.medscape.com/article/825060-overview |title= Foot Fracture |author = Robert Silbergleit |publisher = Medscape.com |accessdate= October 19, 2011}}</ref> |
Normal anatomy that may simulate a fracture include mainly: | Normal anatomy that may simulate a fracture include mainly: |
Revision as of 12:32, 29 July 2019
Author:
Mikael Häggström [notes 1]
In radiology, proximal fractures of the fifth toe are most appropriately classified by their location:
- A proximal diaphysis fracture is typically a stress fracture, commonly among athletes.[1][2]
- A metaphysis fracture or "Jones fracture"; Due to poor blood supply in this area, such a fracture sometimes does not heal and surgery is required.[3]
- A tuberosity fracture or "pseudo-Jones fracture"/"dancer's fracture".[4] It is typically an avulsion fracture.[5]
Normal anatomy that may simulate a fracture include mainly:
- The "apophysis", which is the secondary ossification center of the bone, and is normal at 10 - 16 years of age.[6]
- Os vesalianum, an accessory bone which is present in between 0.1 - 1% of the population.[7]
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.
References
- ↑ Bica D, Sprouse RA, Armen J (2016). "Diagnosis and Management of Common Foot Fractures. ". Am Fam Physician 93 (3): 183-91. PMID 26926612. Archived from the original. .
- ↑ . 5th Metatarsal. Emergency Care Institute, New South Wales (2017-09-19).
- ↑ . Toe and Forefoot Fractures. OrthoInfo - AAOS (June 2016). Archived from the original on 16 October 2017. Retrieved on 15 October 2017.
- ↑ Robert Silbergleit. Foot Fracture. Medscape.com. Retrieved on 19 October 2011.
- ↑ Robert Silbergleit. Foot Fracture. Medscape.com. Retrieved on October 19, 2011.
- ↑ Deniz, G.; Kose, O.; Guneri, B.; Duygun, F. (2014). "Traction apophysitis of the fifth metatarsal base in a child: Iselin's disease ". Case Reports 2014 (may14 4): bcr2014204687–bcr2014204687. doi: . ISSN 1757-790X.
- ↑ Nwawka, O. Kenechi; Hayashi, Daichi; Diaz, Luis E.; Goud, Ajay R.; Arndt, William F.; Roemer, Frank W.; Malguria, Nagina; Guermazi, Ali (2013). "Sesamoids and accessory ossicles of the foot: anatomical variability and related pathology ". Insights into Imaging 4 (5): 581–593. doi: . ISSN 1869-4101.