Behandeling van proximale metatarsale V fracturen bij sporters en niet-sporters
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| Deutscher übersetzter Titel: | Behandlung von proximalen metatarsalen V-Frakturen bei Sportlern und Nichtsportlern |
|---|---|
| Autor: | Versteegh, Viktor E.; Kerkhoffs, Gino M.M.J.; Sierevelt, Inger N.; Kloen, Peter; Dijk, C.N. van |
| Erschienen in: | Sport & geneeskunde |
| Veröffentlicht: | 44 (2011), 2, S. 14-20, Lit. |
| Format: | Literatur (SPOLIT) |
| Publikationstyp: | Zeitschriftenartikel |
| Medienart: | Gedruckte Ressource |
| Sprache: | Holländisch |
| ISSN: | 1874-6659 |
| Schlagworte: | |
| Online Zugang: | |
| Erfassungsnummer: | PU201205002959 |
| Quelle: | BISp |
TY - JOUR AU - Versteegh, Viktor E. A2 - Versteegh, Viktor E. A2 - Kerkhoffs, Gino M.M.J. A2 - Sierevelt, Inger N. A2 - Kloen, Peter A2 - Dijk, C.N. van DB - BISp DP - BISp KW - Betreuung, sportmedizinische KW - Extremität, untere KW - Fragebogen KW - Literaturanalyse KW - Literaturübersicht KW - Mittelfußfraktur KW - Mittelfußknochen KW - Nachbehandlung KW - Nichtsportler KW - Orthopädie KW - Sportler KW - Sportmedizin KW - Sporttraumatologie KW - Therapie, konservative KW - Therapie, operative KW - Untersuchung, vergleichende LA - nld TI - Behandeling van proximale metatarsale V fracturen bij sporters en niet-sporters TT - Behandlung von proximalen metatarsalen V-Frakturen bei Sportlern und Nichtsportlern PY - 2011 N2 - Aims: To evaluate the results of non-operative and operative treatment of the various types of proximal metatarsal V fractures lavulsion, Jones and stress fracturesJ in athletes and non-athletes. Databases MEDLlNE and EMBASE were searched systematically between 1994 and 2010. In parallel a questionnaire, focusing on the treatment of proximal metatarsal V fractures, was distributed among expert orthopedic surgeons from Europe or the United States. Results: Avulsion fractures are always treated non-operatively resulting in 7.1 weeks 11.0-15J to full union on average. Non-operative treatment of Jones fractures results in union after 19 weeks 10-82J on average, operative treatment in 11 weeks 10-84J on average. Non-operative treatment of Jones fractures results in 23% 17. 7-80%J delayed or non-union, operative treatment in 4.5% 10-13J. Non-operative treatment of stress fractures results in union after 44 weeks 10-62J on average, operative treatment after 18 weeks 10-214J on average. Non-operative treatment of stress fractures results in 36% 114-80%J delayed or non-union, operative treatment in 0.2% 10-3.3%J. Experts advise non-operative treatment for avulsion fractures 195%J and for Jones' and stress fractures in non-athletes. Jones and stress fractures in athletes are operated on 4 times more often compared to non-athletics IOR=4, p