Bilateral Fracture of the Base of the Fifth Metatarsal. A Case Report and Review of the Literature
- 1 Orthopedic-Trauma Service, Nianankoro Fomba Hospital, Ségou, Mali
- 2 Orthopedic-Trauma Service, Sikasso Hospital, Sikasso, Mali
- 3 Orthopedic-Trauma Service, Gabriel Touré Hospital, Bamako, Mali
- 4 Orthopedic-Trauma Service, Gabriel Touré Hospital, Bamako, Mali
- 5 Anesthesia-Resuscitation Service, Nianankoro Fomba Hospital, Ségou, Mali
- 6 Medical Imaging Service, Nianankoro Fomba Hospital, Ségou, Mali
- 7 Orthopedic-Trauma Service, Nianankoro Fomba Hospital, Ségou, Mali
- 8 Orthopedic-Trauma Service, Gabriel Touré Hospital, Bamako, Mali
Abstract
We report an unusual case of basic bilateral fracture of fifth metatarsals in a 48 years old post-menopausal woman. She had previously been treated for arterial high blood pressure, parathyroidectomy and rheumatoid arthritis by a long corticotherapy treatment. The lesion was caused by an indirect mechanism in an overweight context. The diagnosis of a pseudarthrosis of the base of the fifth metatarsals was maintained after 7-month treatment. The patient received a treatment of both pseudarthrosis. The post-operative periods were simple. After a 9-month follow-up, the treatment allowed consolidation with painless feet allowing her to resume work.
- Petrizzi, M.J. and Reece, S.G. (1999) Fractures of the Proximal Fifth Metatarsal. American Family Physician, 1, 2516-2522.
- Armagan, O.E. and Shereff, M.J. (2001) Injuries to the Toes and Metatarsals. Orthopedic Clinics of North America, 32, 1-10. https://doi.org/10.1016/S0030-5898(05)70189-9
- Petrisor, B.A., Ekrol, I. and Court-Brown, C. (2006) The Epidemiology of Metatarsal Fractures. Foot & Ankle International, 27, 172-174. https://doi.org/10.1177/107110070602700303
- Zwitser, E.W. and Breederveld, R.S. (2010) Fractures of the Fifth Metatarsal, Diagnosis and Treatment. Injury, 41, 555-562. https://doi.org/10.1016/j.injury.2009.05.035
- Anderson, M. and Greenspan, A. (1996) Stress Fractures. Radiology, 199, 1-12. https://doi.org/10.1148/radiology.199.1.8633129
- Daffner, R.H. and Pavlov, H. (1992) Stress Fractures/Current Concepts. AJR, 159, 245-252. https://doi.org/10.2214/ajr.159.2.1632335
- Singer, G., Cichocki, M., Schalamon, J., Eberl, R. and Höllwarth, M.E. (2008) A Study of Metatarsal Fractures in Children. The Journal of Bone and Joint Surgery. American Volume, 90, 772-776. https://doi.org/10.2106/JBJS.G.00547
- Ding, B.C., Weathearll, J.M., Mroczek, K.J., et al. (2012) Fractures of the Proximal Fifth Metatarsal: Keeping up with the Joneses. Bulletin of the NYU Hospital for Joint Diseases, 70, 49-55.
- Cakir, H., Van Vliet-Koppert, S.T., Van Lieshout, E.M., De Vries, M.R., Van Der Elst, M. and Schepers, T. (2011) Demographics and Outcome of Metatarsal Fractures. Archives of Orthopaedic and Trauma Surgery, 131, 241-245. https://doi.org/10.1007/s00402-010-1164-6
- Chuckpaiwong, B., Queen, R.M., Easley, M.E. and Nunley, J.A. (2008) Distinguishing Jones and Proximal Diaphyseal Fractures of the Fifth Metatarsal. Clinical Orthopaedics and Related Research, 466, 1966-1970. https://doi.org/10.1007/s11999-008-0222-7
- Smith, et al. (1997) Base of the Fifth Metatarsal Fractures, an Unusual Presentation. The Journal of the Royal Army Medical Corps, 143, 51-52. https://doi.org/10.1136/jramc-143-01-11
- Kanis, J.A., Burlet, N., Cooper, C., et al. (2013) European Guidance for the Diagnosis and Management of Osteoporosis in Postmenopausal Women. Osteoporosis International, 24, 23-57. https://doi.org/10.1007/s00198-012-2074-y
- Singer, B.R., McLauchlan, G.J., Robinson, C.M. and Christie, J. (1998) Epidemiology of Fractures in 15,000 Adults: The Influence of Age and Gender. The Journal of Bone and Joint Surgery. British Volume, 80, 243-248. https://doi.org/10.1302/0301-620X.80B2.0800243