To assess functional recovery after treatment with intramedullary screw fixation in athletes with a Jones or stressfracture of the fifth metatarsal.
ID
Source
Brief title
Condition
- Fractures
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The AOFAS midfoot score will be used as our primary study parameter.
Secondary outcome
Tegner score, VAS FA score, patient satisfaction measured with a Likert scale,
if there are complains of the screw and whether the screw has been removed,
whether there are complains of the non-injured foot, if refracturing has
occurred, whether shoe adjustments where necessary. Furthermore, we will assess
the level of pain, swelling, deformity, range of motion (ROM) of the
foot/ankle, varus/valgus hindfoot alignment and eversion strength by physical
examination. Gait and plantar pression distribution analysis will be done with
a footscan and we will assess the degree of fracture healing with an X-ray.
Background summary
Proximal fifth metatarsal fractures, which can be divided into Jones and stress
fractures, are frequently seen in athletes. These fractures are most frequently
related to chronic stress and are commonly seen in soccer and basketball
players. Jones and stress fractures can be treated conservatively or
operatively, but the time to union is longer in conservative treatment and the
non-union chance is higher compared to surgical treatment. That is why
operative treatment is recommended for the athlete. Several operation
techniques have been described, but the optimal surgical treatment has not been
determined. Intramedullary screw fixation has become a preferred method for
treatment of Jones and stress fractures of the fifth metatarsal in athletes.
Study objective
To assess functional recovery after treatment with intramedullary screw
fixation in athletes with a Jones or stressfracture of the fifth metatarsal.
Study design
Cross sectional study.
Study burden and risks
There is no direct benefit for the patient from participating in the study. The
burden is primarily time (a sole visit to our outpatient clinic and some
questionnaires).
Postbus 2040
3000 CA Rotterdam
NL
Postbus 2040
3000 CA Rotterdam
NL
Listed location countries
Age
Inclusion criteria
Athletes who have been treated for a Jones or stress fracture in the period between 2006-2010, with an age of 18 years or older, and have been treated in the Erasmus MC by screw fixation.
Exclusion criteria
Insufficient command of the Dutch language, spoken and/or written.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL34674.078.10 |