title: Combined surgical therapy and orthotic management of stress and tuberosity avulsion fracture of the fifth metatarsal bone: a case report.
abstract: The incidence of fifth metatarsal fracture is somewhat common in sports and can be complicated in nature. Fractures of the fifth metatarsal can occur at a number of locations. Although some of these fractures respond well to conservative treatment, others have been notoriously hard to heal, with high rates of nonunions and other complications. Foot orthotic devices are commonly used as aids in the treatment of foot problems. In our case, we considered the combined effect of the surgical treatment and application of the custom-made foot orthoses. Special attention was taken with adjustments to the orthotic devices along and beneath the affected regions of the foot for adequate pain management and quick recovery to return to normal sports activities. Requirements for computer aided design/computer aided manufacturing orthotic design and manufacturing in this case were specific and considerably different from the usual procedure.
authors.affiliation: Sports Trauma Department, University Clinic of Traumatology, Medical School, University of Zagreb, Zagreb, Croatia. darabos.dr@vz.t-com.hr
authors.forename: Nikica
authors.initials: N
authors.lastname: Darabos
authors.forename: Karlo
authors.initials: K
authors.lastname: Obrovac
authors.forename: Nikica
authors.initials: N
authors.lastname: Knez
authors.forename: Anela
authors.initials: A
authors.lastname: Darabos
authors.forename: Damir
authors.initials: D
authors.lastname: Hudetz
authors.forename: Esmat
authors.initials: E
authors.lastname: Elabjer
mesh_terms: D000293:Adolescent; D001490:Basketball / Q000293:injuries; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D015775:Fractures, Stress / Q000000981:diagnostic imaging / Q000628:therapy*; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D009989:Orthotic Devices; D011859:Radiography; D013813:Therapy, Computer-Assisted / Q000379:methods*