Treatment dilemma in multiple metatarsal fractures: when to operate?
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 26990060.
- Also identified by DOI 10.1097/BPB.0000000000000311.
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Abstract
Fractures of multiple metatarsals in the pediatric population are uncommon; however, indications for surgical treatment have not been delineated. The aim of this study was to review multiple metatarsal fractures to help refine surgical indications. A total of 98 patients had multiple metatarsal fractures; displacement greater than 10% shaft width (displaced) was encountered in 33 (34.0%) patients. Fifteen patients had displacement of more than 75% shaft width of one metatarsal. Patients older than 14 years of age were more likely to have surgery for their injury (52.6%) than those younger than 14 years of age (3.7%) (P<0.0001). Younger patients and those with less than 75% displacement should be considered for nonoperative care. Level IV.
Medical subject headings
- Foot Injuries
- Fractures, Bone
- Metatarsal Bones
- Orthopedics
Anatomy
- foot