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First published on February 16, 2005, doi:10.1177/0363546504271000
This version was published on May 1, 2005
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The American Journal of Sports Medicine 33:726-733 (2005)
© 2005 American Orthopaedic Society for Sports Medicine

Fifth Metatarsal Jones Fracture Fixation With a 4.5-mm Cannulated Stainless Steel Screw in the Competitive and Recreational Athlete

A Clinical and Radiographic Evaluation

David A. Porter, MD, PhD*,{dagger}, Melissa Duncan{dagger} and Susan J. F. Meyer, MD{ddagger}

From the {dagger} Thomas A. Brady Clinic, Methodist Sports Medicine Center, Indianapolis, Indiana, and {ddagger} CDI of Indiana, Indianapolis, Indiana

* Address correspondence to David A. Porter, MD, PhD, Thomas A. Brady Clinic, Methodist Sports Medicine Center, 201 Pennsylvania Parkway, Suite 200, Indianapolis, IN 46280 (e-mail: dporter{at}methodistsports.com).

Background: Fifth metatarsal Jones fractures are common in the athletic population. Optimal screw selection for operative treatment has not been determined.

Hypothesis: A 4.5-mm cannulated screw used for fixation of the fifth metatarsal Jones fractures in athletes is an effective treatment approach.

Study Design: Case series; Level of evidence, 4.

Methods: The authors studied 23 consecutive athletes (24 feet) who were treated surgically with a 4.5-mm cannulated screw for fifth metatarsal fractures (Jones fracture) with clinical and radiographic assessments.

Results: There have been no refractures to date. Clinical healing was 100%. The mean percentage healing as shown on radiographs was 98.9%, with a range of 90% to 100%. All athletes returned to sport at a mean time of 7.5 weeks (range, 10 days to 12 weeks). Two athletes experienced a "reinjury" without need for operative treatment. All athletes were recommended to wear orthoses until their competitive careers were completed.

Conclusion: Fixation with a stainless steel 4.5-mm cannulated screw gives 100% clinical healing and near-100% healing as shown on radiographs.

Clinical Relevance: The 4.5-mm cannulated screws can yield reliable and effective healing as evidenced by clinical assessment and radiographs of fifth metatarsal Jones fractures in athletes.

Key Words: Jones fracture • cannulated screw • athlete • radiographs • healing • sports




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