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    What is the most effective management of acute fractures of the base of the fifth metatarsal?

    Vu, Davis
    McDiarmid, Todd
    Brown, Marcy L.
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    [PDF] WhatEffectiveManagementFractures.pdf (155.7Kb)
    Date
    2006
    Format
    Article
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    Abstract
    For acute Jones' fractures in recreationally active patients, early intramedullary screw fixation results in lower failure rates and shorter times to both clinical union and return to sports than non-weightbearing short leg casting (strength of recommendation [SOR]: A, based on 2 randomized controlled trials (RCT)]. Non- weightbearing short leg casting achieves union in 56% to 100% of patients but can require prolonged casting (SOR: B, based on 2 prospective cohorts and multiple retrospective, follow-up studies). Stress fractures were not included in this review. For avulsion fractures of the fifth metatarsal tuberosity, a soft Jones' dressing allows earlier return to pre-injury levels of activity than rigid short leg casting (SOR: B, based on a lower-quality RCT).
    URI
    http://hdl.handle.net/10355/3511
    Part of
    Journal of family practice, 55, no. 08 (August 2006): 713+
    Rights
    OpenAccess.
    This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.
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