Nonunion of a Stress Fracture at the Base of the Second Metatarsal in a Soccer Player Treated by Osteosynthesis with the Bridging Plate Fixation Technique
Background. A stress fracture of the second metatarsal base in soccer players is extremely rare. In this case study, we report a nonunion of a stress fracture at the base of the second metatarsal in a female soccer player who had persistent pain despite continued conservative treatment, who then was...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/6649443 |
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| author | Futoshi Morio Shota Morimoto Shintaro Onishi Toshiya Tachibana Tomoya Iseki |
| author_facet | Futoshi Morio Shota Morimoto Shintaro Onishi Toshiya Tachibana Tomoya Iseki |
| author_sort | Futoshi Morio |
| collection | DOAJ |
| description | Background. A stress fracture of the second metatarsal base in soccer players is extremely rare. In this case study, we report a nonunion of a stress fracture at the base of the second metatarsal in a female soccer player who had persistent pain despite continued conservative treatment, who then was treated with the bridging plate fixation technique. Case Report. A 19-year-old female college soccer player complained of pain on the dorsum of her right midfoot during a game without history of trauma and was conservatively treated for 6 months. Radiographic examination showed an oblique fracture with small bone fragment at the proximal base of the second metatarsal and computed tomography demonstrated sclerotic change around the fracture site. We diagnosed her with nonunion of a stress fracture at the base of the second metatarsal and performed operative treatments using autogenous cancellous iliac bone grafting and plate fixation bridging a second metatarsal and medial cuneiform with a locking plate. At 4 months after the initial surgery, she was able to return to playing soccer at preinjury level without complications or pain. Conclusion. We report a rare case of nonunion of a stress fracture at the base of the second metatarsal in a female soccer player without underlying diseases. Surgical treatment was applied, because the conservative treatment was ineffective for 6 months and led to nonunion. The plate fixation technique bridging the second metatarsal and medial cuneiform was a useful option to attain the bone fusion for small fracture fragment for a treatment of nonunion of a stress fracture at the base of the second metatarsal. |
| format | Article |
| id | doaj-art-e189ae4858aa42c9a5cd89ed060a5f64 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-e189ae4858aa42c9a5cd89ed060a5f642025-02-03T05:51:16ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/66494436649443Nonunion of a Stress Fracture at the Base of the Second Metatarsal in a Soccer Player Treated by Osteosynthesis with the Bridging Plate Fixation TechniqueFutoshi Morio0Shota Morimoto1Shintaro Onishi2Toshiya Tachibana3Tomoya Iseki4Department of Orthopedic Surgery, Hyogo College of Medicine, 663-8501, 1-1 Mukogawa-cho, Nishinomiya City, Hyogo, JapanDepartment of Orthopedic Surgery, Hyogo College of Medicine, 663-8501, 1-1 Mukogawa-cho, Nishinomiya City, Hyogo, JapanDepartment of Orthopedic Surgery, Hyogo College of Medicine, 663-8501, 1-1 Mukogawa-cho, Nishinomiya City, Hyogo, JapanDepartment of Orthopedic Surgery, Hyogo College of Medicine, 663-8501, 1-1 Mukogawa-cho, Nishinomiya City, Hyogo, JapanDepartment of Orthopedic Surgery, Hyogo College of Medicine, 663-8501, 1-1 Mukogawa-cho, Nishinomiya City, Hyogo, JapanBackground. A stress fracture of the second metatarsal base in soccer players is extremely rare. In this case study, we report a nonunion of a stress fracture at the base of the second metatarsal in a female soccer player who had persistent pain despite continued conservative treatment, who then was treated with the bridging plate fixation technique. Case Report. A 19-year-old female college soccer player complained of pain on the dorsum of her right midfoot during a game without history of trauma and was conservatively treated for 6 months. Radiographic examination showed an oblique fracture with small bone fragment at the proximal base of the second metatarsal and computed tomography demonstrated sclerotic change around the fracture site. We diagnosed her with nonunion of a stress fracture at the base of the second metatarsal and performed operative treatments using autogenous cancellous iliac bone grafting and plate fixation bridging a second metatarsal and medial cuneiform with a locking plate. At 4 months after the initial surgery, she was able to return to playing soccer at preinjury level without complications or pain. Conclusion. We report a rare case of nonunion of a stress fracture at the base of the second metatarsal in a female soccer player without underlying diseases. Surgical treatment was applied, because the conservative treatment was ineffective for 6 months and led to nonunion. The plate fixation technique bridging the second metatarsal and medial cuneiform was a useful option to attain the bone fusion for small fracture fragment for a treatment of nonunion of a stress fracture at the base of the second metatarsal.http://dx.doi.org/10.1155/2020/6649443 |
| spellingShingle | Futoshi Morio Shota Morimoto Shintaro Onishi Toshiya Tachibana Tomoya Iseki Nonunion of a Stress Fracture at the Base of the Second Metatarsal in a Soccer Player Treated by Osteosynthesis with the Bridging Plate Fixation Technique Case Reports in Orthopedics |
| title | Nonunion of a Stress Fracture at the Base of the Second Metatarsal in a Soccer Player Treated by Osteosynthesis with the Bridging Plate Fixation Technique |
| title_full | Nonunion of a Stress Fracture at the Base of the Second Metatarsal in a Soccer Player Treated by Osteosynthesis with the Bridging Plate Fixation Technique |
| title_fullStr | Nonunion of a Stress Fracture at the Base of the Second Metatarsal in a Soccer Player Treated by Osteosynthesis with the Bridging Plate Fixation Technique |
| title_full_unstemmed | Nonunion of a Stress Fracture at the Base of the Second Metatarsal in a Soccer Player Treated by Osteosynthesis with the Bridging Plate Fixation Technique |
| title_short | Nonunion of a Stress Fracture at the Base of the Second Metatarsal in a Soccer Player Treated by Osteosynthesis with the Bridging Plate Fixation Technique |
| title_sort | nonunion of a stress fracture at the base of the second metatarsal in a soccer player treated by osteosynthesis with the bridging plate fixation technique |
| url | http://dx.doi.org/10.1155/2020/6649443 |
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