Open reduction: The surgeon makes an incision and aligns the bone.The two following surgical procedures are often performed: However, in certain cases, one might need to undergo surgery if the fracture is 2 cm away from the main bone. Generally, an avulsion fracture does not need surgical interventions. Surgical management of avulsion fractures Phase III, rehabilitation of fractured limb: This begins at the time of injury and continues until maximum possible functions have been regained, consisting of.Preservation of function: To preserve the functions of the limb, physiotherapy throughout the treatment, even when the limb is immobilized, is important.This may be done by external immobilization, such as by application of plaster or by internal fixation of the fracture using rods, plates, screws, etc. Immobilization: The bones are maintained in a reduced position.This may be done nonoperatively or operatively and is called closed and open reduction, respectively. Reduction: “Setting” the displaced fracture to proper alignment.Phase II, definitive care: There are three fundamental principles of definitive care.Phase I, emergency care: Emergency care of a fracture begins at the site of the accident and consists of RICE, which means.Treatment of a fracture can be done in the following three phases: This is one of the most common foot avulsion injuries, accounting for approximately 90 percent of all fractures at the base of the fifth metatarsal.Ī Jones fracture, however, is a transverse fracture through the proximal fifth metatarsal bone in the metaphyseal-diaphyseal junction. The Jones fracture occurs at the site of metatarsals (five long bones found in the foot).Īn avulsion fracture of the fifth proximal metatarsal at its base is called a pseudo-Jones fracture or a dancer fracture. An avulsion fracture occurs in a bone due to a strong traction force by the tendons and ligaments attached to it. The tendon attaches muscles to bones and the ligament attaches bones to bones. When a tendon or ligament pulls off a piece of the bone, it leads to an avulsion fracture. It can be classified based on the etiology (which is the cause), relationship with the environment, displacement of the fractured bone, and pattern of fracture. An avulsion fracture is called a pseudo-Jones fracture, whereas a Jones fracture is considered a transverse fracture.Ī fracture is a break or discontinuity in the bone.
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