• Foot & ankle specialist · Apr 2009

    Case Reports

    Stress fracture of the fifth metatarsal base caused by tension band wiring: an isolated case report.

    • Ali Mofidi, Piret Hamer, Rhys H Thomas, and Sandeep Satish Hemmadi.
    • University Hospital of Wales, Heath, Cardiff, United Kingdom. Mofidi71@hotmail.com
    • Foot Ankle Spec. 2009 Apr 1; 2 (2): 79-82.

    AbstractTension band technique has been described as a successful method of treatment for the fractures of the proximal part of the fifth metatarsal bone. A high rate of union and a low rate of complications have made this mode of treatment popular, especially in patients with nonunion and high-level athletes with stress fracture of the proximal fifth metatarsal bone. The authors report a case of an avulsion fracture of the base of the fifth metatarsal bone treated with tension band wiring fixation, which resulted in a stress fracture 1 year after the tension band wiring. The authors recommend a K-wire perforation and tension band drill hole distal to the watershed area of the fifth metatarsal bone and removal of metalwork 6 to 12 months after fracture union to avoid this complication.

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