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Jones fracture. Surgical versus nonsurgical treatment

Josefsson, Per O; Karlsson, Magnus LU ; Redlund-Johnell, Inga LU and Wendeberg, B (1994) In Clinical Orthopaedics and Related Research 299. p.252-255
Abstract
Sixty-three patients with 66 transverse and short oblique fractures of the proximal shaft of the fifth metatarsal bone (Jones fracture) were evaluated an average of five years (range, one to ten years) after the injury. There were 27 acute fractures and 39 chronic, or stress, fractures. The primary treatment was surgical for one third of the injuries and nonsurgical for the others. Surgical treatment consisted of the insertion of medullary screws. Nonsurgical treatment consisted of the application of either a plaster cast or an elastic bandage. Almost one fourth of the fractures treated nonsurgically later had to be treated surgically because of delayed unions or refractures. Late surgery was required in 12% of acute fractures and in 50%... (More)
Sixty-three patients with 66 transverse and short oblique fractures of the proximal shaft of the fifth metatarsal bone (Jones fracture) were evaluated an average of five years (range, one to ten years) after the injury. There were 27 acute fractures and 39 chronic, or stress, fractures. The primary treatment was surgical for one third of the injuries and nonsurgical for the others. Surgical treatment consisted of the insertion of medullary screws. Nonsurgical treatment consisted of the application of either a plaster cast or an elastic bandage. Almost one fourth of the fractures treated nonsurgically later had to be treated surgically because of delayed unions or refractures. Late surgery was required in 12% of acute fractures and in 50% of chronic fractures with sclerosis narrowing the medullary canal. Irrespective of the primary treatment, all the patients had full function at the time of the follow-up evaluation, and no nonunions were diagnosed. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Clinical Orthopaedics and Related Research
volume
299
pages
252 - 255
publisher
Lippincott Williams & Wilkins
external identifiers
  • pmid:8119027
  • scopus:0027952723
ISSN
0009-921X
language
English
LU publication?
yes
id
4d331fae-ffb6-45f3-96da-dd7bc9a342ff (old id 1108074)
date added to LUP
2008-07-23 12:12:31
date last changed
2017-08-13 03:45:17
@article{4d331fae-ffb6-45f3-96da-dd7bc9a342ff,
  abstract     = {Sixty-three patients with 66 transverse and short oblique fractures of the proximal shaft of the fifth metatarsal bone (Jones fracture) were evaluated an average of five years (range, one to ten years) after the injury. There were 27 acute fractures and 39 chronic, or stress, fractures. The primary treatment was surgical for one third of the injuries and nonsurgical for the others. Surgical treatment consisted of the insertion of medullary screws. Nonsurgical treatment consisted of the application of either a plaster cast or an elastic bandage. Almost one fourth of the fractures treated nonsurgically later had to be treated surgically because of delayed unions or refractures. Late surgery was required in 12% of acute fractures and in 50% of chronic fractures with sclerosis narrowing the medullary canal. Irrespective of the primary treatment, all the patients had full function at the time of the follow-up evaluation, and no nonunions were diagnosed.},
  author       = {Josefsson, Per O and Karlsson, Magnus and Redlund-Johnell, Inga and Wendeberg, B},
  issn         = {0009-921X},
  language     = {eng},
  pages        = {252--255},
  publisher    = {Lippincott Williams & Wilkins},
  series       = {Clinical Orthopaedics and Related Research},
  title        = {Jones fracture. Surgical versus nonsurgical treatment},
  volume       = {299},
  year         = {1994},
}