12/5/2023 0 Comments Displaced 5th metatarsal fracture![]() ![]() A significant difference is visible in the management of this type of fracture in particular if it is doubted to be a Jones’ fracture, as the boundaries for this are ambiguous. ![]() This audit has reviewed the efficiency of the Virtual Fracture Clinic (VFC) in University Hospital of South Manchester NHS foundation trust (UHSM) in managing fractures of the proximal fifth metatarsal. This is attained by replacing the traditional clinic pathway for a virtual platform, where the consultations can occur with fewer resources and physicians. The technological developments within the National Health Service (NHS) provide a foundation to improve the quality of care and patient satisfaction without additional costs. UHSM: University Hospital of South Manchester NHS foundation Trust VFC: Virtual Fracture Clinic NHS: National Health Service A&E: Accident and Emergency CT: Computed tomography MRI: Magnetic Resonance Imaging. However, Zone 2 fractures are more likely to need a surgical approach and thus should receive a follow up appointment at 6 weeks. In this cohort, 4 patients required operative management, 3 of these were Zone 2 and 1 was Zone 1.Ĭonclusion: Zone 1 and 3 fractures require conservative management and could be discharged routinely with advice that it could take up to 12 weeks to heal. The highest occurrence of non-union is in Zone 2 of 57%, 29% in Zone 1 and 14% in Zone 3. It is shown that there is a 57% chance of delayed union in Zone 1 and 43% likelihood in Zone 2, where the treatment period is longer than 12 weeks. Using the Dameron-Lawrence-Bofte classification it was found that 73.6% were Zone 1, 22.2% were Zone 2 and 4.2% were Zone 3. Results: Out of the 270 patients that presented to the Virtual Fracture Clinic with fifth metatarsal fractures, 53.3% were basal fractures of the fifth metatarsal. Their data was then identified for treatment, non-union and delayed union. Materials and methods: Study of 270 patients conducted over a period of 19 months classified the fractures using Dameron-Lawrence-Bofte classification, the Torg classification and the Stewart classification. Background: A fifth metatarsal fracture is a frequent type of fracture that is not classified during assessment.Īims: To analyse the patterns in management plans of patients that have presented with basal fifth metatarsal fractures to promote a change in the service provided. ![]()
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