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Fifth metatarsal tuberosity avulsion fractures are common. Despite good outcomes with nonoperative treatment, acute fractures with displacement, intra-articular involvement, comminution, or painful nonunion have been reported to benefit from early open reduction and internal fixation, especially in athletes. No consensus has been reached regarding the best surgical fixation technique. We present a case series of 4 patients with displaced fifth metatarsal tuberosity avulsion fractures and an innovative technique of fixation for the tuberosity avulsion fractures using a suture anchor.
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http://dx.doi.org/10.1053/j.jfas.2018.02.014 | DOI Listing |
Cureus
July 2025
Health Informatics, Rutgers University, New Brunswick, USA.
Although infrequent, calcaneal tuberosity fractures pose a challenge for surgeons. The treatment goal is to establish stable fixation and restore function of the gastrocnemius-soleus-Achilles tendon complex. Type II fractures, otherwise known as "beak" fractures, are characterized by large avulsion fragments that extend from the posterior calcaneus at the Achilles tendon insertion.
View Article and Find Full Text PDFJ Foot Ankle Surg
July 2025
The Wuhan Fourth Hospital, PR China. Electronic address:
Background: Displaced or comminuted fifth metatarsal base fractures remain challenging, with no consensus on optimal surgical treatment.
Purpose: To compare clinical outcomes between intramedullary tension-band and distal ulna hook plate fixation for treating Zone 1 (tuberosity avulsion) fractures of the fifth.
Study Design: Retrospective cohort study.
BMJ Case Rep
June 2025
Department of Orthopaedic Surgery and Traumatology, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Avulsion fractures of the ischial tuberosity (AFIT) are rare and occur almost exclusively in adolescent athletes. Treatment can be either conservative or surgical. The limited literature on this topic debates the criteria for surgical fixation, with various authors citing displacement thresholds of 15 or 20 mm as pivotal for deciding whether early surgical fixation is recommended.
View Article and Find Full Text PDFWorld J Orthop
June 2025
Department of Orthopaedic, Evangelismos Hospital, Athens 10676, Attikí, Greece.
Background: Shoulder arthroscopy is commonly used for the repair of glenohumeral ligament avulsions or tendon tears. The success of the operation depends on the ability of the ligaments or rotator cuff tendon to heal to their original attachment site. Soft tissue healing can be evaluated with imaging methods or alternatively with second-look arthroscopy.
View Article and Find Full Text PDFCureus
May 2025
Orthopedic Surgery, Hospital General de Zona IMSS 7, Monclova, MEX.
Osteogenesis imperfecta (OI) is a heritable connective tissue disorder characterized by defective type I collagen synthesis, leading to reduced bone strength and increased susceptibility to fractures, often with minimal trauma. Fractures involving the tibial tuberosity are rare and typically occur in adolescents during periods of rapid growth, usually following high-demand activities. We report a case of a 14-year-old male with type I OI who sustained a displaced tibial tuberosity avulsion fracture with epiphyseal and intra-articular extension (Salter-Harris type III, Ogden type IIIA) following low-energy trauma.
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