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16 Cards in this Set
- Front
- Back
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What are the two operative indications for first metatarsal stress fractures?
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lntraarticular displacement
Fracture opens on stress view |
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What does nonoperative treatment of first metatarsal fracture consist of?
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6 weeks in a short leg cast
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What patient population is particularly at risk for metatarsal stress fractures?
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Female runners
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What metatarsals are most likely to sustain injury?
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Second and third
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In ballet dancers, where do stress fractures classically occur?
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Base of the second metatarsal
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With trauma, which structure can avulse from the base of the fifth metatarsal?
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Lateral band of plantar fascia
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What is the treatment of choice in that situation?
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WBAT in cast
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If a painful nonunion develops, what is a reasonable next step?
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Pulsed electromagnetic field (PEMF) treatment
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What is the treatment of choice for a nondisplaced Jones fracture?
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NWB in a cast
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In general, how successful is the nonoperative treatment of jones fractures?
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50% succeed and 50% fail
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How does the treatment differ for high-level athletes?
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Early ORIF is preferred
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What is the ideal intramedullaiy screw size for the treatment of a Jones
fracture? |
4.5 mm
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What factor contributes to the failure of operative treatment in athletes?
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Return to activity too early
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What is the preferred treatment for an acute diaphyseal stress fracture of the fifth metatarsal?
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NWB in a cast
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In which population is nonoperative treatment NOT recommended?
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High—level athletes
Again, consider early ORIF |
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If sclerosis is noted on x—ray during nonoperative treatment, what is the
treatment of choice? |
ORIF and bone graft
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