Stress fracture of the fifth metatarsal after Evans' calcaneal osteotomy: a report of two cases.
The Evans calcaneal lengthening osteotomy has gained popularity in recent years for the treatment of symptomatic flexible pes planus deformity. To our knowledge, the occurrence of a stress fracture of the fifth metatarsal has not been reported after this procedure. We report two such cases and discuss the probable mechanism of this problem, a relative overloading of the lateral aspect of the foot. Both cases were treated successfully with immobilization. Clinicians should be aware of this possible problem and treat it appropriately.
Davitt
J S
JS
Department of Orthopedics, University of Utah, Salt Lake City, USA.
Morgan
J M
JM
D000293:Adolescent; D001696:Biomechanical Phenomena; D002111:Calcaneus / Q000601:surgery*; D005260:Female; D005413:Flatfoot / Q000601:surgery; D005528:Foot / Q000503:physiopathology; D015775:Fractures, Stress / Q000209:etiology*; D006801:Humans; D008682:Metatarsal Bones / Q000293:injuries*; D008875:Middle Aged; D010027:Osteotomy / Q000009:adverse effects* / Q000379:methods