PDF(Pubmed)
Abstract：
Acute avulsion fracture of the base of the first metatarsal is a rare occurrence, caused by an eccentric contraction of the peroneus longus tendon insertion. A number of case reports have been published outlining various treatment strategies for treating this rare injury. Management plans range from conservative to operative options and include both acute and delayed operative treatments.We present our operative management strategy of an acute avulsion fracture of the base of the first metatarsal. It includes a step-by-step approach including intraoperative clinical photographs and intraoperative image intensifier images. We explain the rationale behind our operative approach and provide insight on the importance of recognising and treating this injury. Initially, this avulsion fracture might seem innocuous but if left untreated may result in disabling functional foot problems.
摘要：
第一跖骨基部的急性撕脱性骨折是罕见的，由腓骨长肌腱插入的偏心收缩引起。已经发表了许多病例报告，概述了治疗这种罕见损伤的各种治疗策略。管理计划范围从保守到手术选择，包括急性和延迟手术治疗。我们提出了第一meta骨底部急性撕脱性骨折的手术管理策略。它包括一步一步的方法，包括术中临床照片和术中图像增强器图像。我们解释了手术方法背后的基本原理，并提供了认识和治疗这种伤害的重要性的见解。最初，这种撕脱性骨折似乎无害，但如果不及时治疗，可能会导致功能性足部问题。
