Davos Courses

Executive Editor: Joseph Schatzker, Richard Buckley

Authors: Michael Castro, Richard Buckley, Andrew Sands, Christine Kabbash

Metatarsals - 5th, base, metaphyseal avulsion fractures

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Glossary

General considerations

This fracture occurs proximal to the insertion of the peroneus brevis on the base of the fifth MT or within the very proximal aspect of the insertion. It is treated nonoperatively.

Nonoperative treatment
Main indication Skill Equipment
Minimally displaced fractures Basic surgical experience, no specialized skills Basic equipment only

Indications

  • Less than 2 mm displaced fracture in an athletic young person
  • Less than 5 mm displacement in most adults

Advantages

  • Fracture healing in most patients (> 95%)

Disadvantages

  • Slower mobilization in athletes
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v2.0 2017-03-22