This 15-year-old high-level basketball player sustained a proximal fifth metatarsal fracture at the metaphyseal-diaphyseal junction. The patient chose intramedullary screw fixation because of his desire to return to sport as promptly as possible, lessen his time in immobilization, and lessen the risk of delayed union or nonunion. A) X-ray at time of injury. B and C) After intramedullary screw fixation. (Courtesy of Keith S. Hechtman, MD.)
Reproduced with permission from: Jarvis JG, Moroz PJ. Fractures and Dislocations of the Foot. In: Rockwood and Wilkins' Fractures in Children, 6th ed, Beaty JH, Kasser JR (Eds), Lippincott Williams & Wilkins, Philadelphia 2006. Copyright © 2006 Lippincott Williams & Wilkins.
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