36-206

La problemática de las fracturas de la extremidad proximal del 5º metatarsiano.

Fractures of the fifht metatarsal. Problems and solutions.

SEGURA LLOPIS S*, SILVESTRE MUÑOZ A*, BAIXAULI PERELLÓ E** *HOSPITAL CLÍNICO UNIVERSITARIO DE VALENCIA. SERVICIO DE TRAUMATOLOGÍA Y CIRUGÍA ORTOPÉDICA. **HOSPITAL CLÍNICO UNIVERSITARIO LA FE DE VALENCIA. SERVICIO DE TRAUMATOLOGÍA Y CIRUGÍA ORTOPÉDICA.
Recepción:
16/09/2008
Aceptación:
16/09/2008
Publicación:
16/09/2008


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Resumen (ES)

Lax usage of anatomic terms and applications of
eponyms is the main reason of controversy in diagnosis and
classification of fractures of the proximal third of the fifth
metatarsal. This article serves as an overview of these fractures,
showing the cases treated at our Hospital in the last
three years. We propose Quill's classification scheme to aid in
the management of these fractures. Careful radiological and
anatomical analysis can help to avoid problems. Treatment of
avulsion-fractures and Jones' fractures is quite clear. Neither
the history northe biological behaviour of proximal fifth metatarsal
diaphyseal stress fractures seems to parallel those of
fractures of other metatarsals.

Palabras clave (ES):

Jones
Pie
Metatarsiano
Proximal
Base
Fractura

Resumen (EN)

Lax usage of anatomic terms and applications of
eponyms is the main reason of controversy in diagnosis and
classification of fractures of the proximal third of the fifth
metatarsal. This article serves as an overview of these fractures,
showing the cases treated at our Hospital in the last
three years. We propose Quill's classification scheme to aid in
the management of these fractures. Careful radiological and
anatomical analysis can help to avoid problems. Treatment of
avulsion-fractures and Jones' fractures is quite clear. Neither
the history northe biological behaviour of proximal fifth metatarsal
diaphyseal stress fractures seems to parallel those of
fractures of other metatarsals.

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