{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T13:23:21Z","timestamp":1765545801652,"version":"build-2065373602"},"reference-count":18,"publisher":"FapUNIFESP (SciELO)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta ortop. bras."],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p>OBJETIVO: Avaliar os resultados cl\u00ednicos e radiol\u00f3gicos da osteoss\u00edntese com parafuso de compress\u00e3o intramedular nas fraturas proximais do quinto metatarsiano no atleta. M\u00c9TODOS: Foram inclu\u00eddos no estudo 11 homens e seis mulheres com diagn\u00f3stico de fratura das zonas II e III do quinto metatarsiano. Quinze dos pacientes praticavam esporte a n\u00edvel profissional ou de alto rendimento (futebol: n=11; basquetebol: n=1; atletismo: n=3) e dois praticavam atividade esportiva regular a n\u00edvel recreacional. Foram submetidos a fixa\u00e7\u00e3o cir\u00fargica com parafuso canulado de compress\u00e3o (4.5mm de di\u00e2metro). Todos os pacientes foram avaliados clinicamente e atrav\u00e9s da revis\u00e3o do processo cl\u00ednico e dos estudos imagiol\u00f3gicos. O tempo m\u00e9dio de seguimento ap\u00f3s a cirurgia foi 54 meses (38-70). RESULTADOS: O tempo m\u00e9dio de consolida\u00e7\u00e3o (como demonstrado pelo estudo radiol\u00f3gico) e de retorno \u00e0 atividade esportiva foi 7.3 e 7.5 semanas, respectivamente. Todos os atletas retornaram aos n\u00edveis de atividade pr\u00e9vios. N\u00e3o verificamos atrasos de consolida\u00e7\u00e3o, n\u00e3o-uni\u00e3o ou refraturas \u00e0 data do estudo. CONCLUS\u00c3O: A osteoss\u00edntese com parafuso de compress\u00e3o intramedular nas fraturas proximais do quinto metatarsiano demonstrou, nos nossos pacientes, ser um procedimento eficaz com taxas de morbilidade muito reduzidas e que permite ao atleta um retorno precoce \u00e0 atividade esportiva. N\u00edvel de evid\u00eancia I, S\u00e9rie de Casos.<\/jats:p>","DOI":"10.1590\/s1413-78522012000500003","type":"journal-article","created":{"date-parts":[[2012,12,8]],"date-time":"2012-12-08T09:08:36Z","timestamp":1354957716000},"page":"262-265","source":"Crossref","is-referenced-by-count":8,"title":["Osteoss\u00edntese com parafuso intramedular nas fraturas proximais do quinto metatarsiano do atleta"],"prefix":"10.1590","volume":"20","author":[{"given":"Marta Maria Teixeira de Oliveira","family":"Massada","sequence":"first","affiliation":[{"name":"Hospital de Santo Ant\u00f3nio, Portugal"}]},{"given":"Manuel Alexandre Negrais Pinho Gon\u00e7alves","family":"Pereira","sequence":"additional","affiliation":[{"name":"Hospital de Santo Ant\u00f3nio, Portugal"}]},{"given":"Ricardo Jorge Gomes de","family":"Sousa","sequence":"additional","affiliation":[{"name":"Hospital de Santo Ant\u00f3nio, Portugal"}]},{"given":"Paulo Guimar\u00e3es","family":"Costa","sequence":"additional","affiliation":[{"name":"Hospital de Santo Ant\u00f3nio, Portugal"}]},{"given":"Jos\u00e9 Leandro da Rocha","family":"Massada","sequence":"additional","affiliation":[{"name":"Universidade do Porto, Portugal"}]}],"member":"530","reference":[{"issue":"6","key":"ref1","first-page":"697","article-title":"Fracture of the Base of the Fifth Metatarsal Bone by Indirect Violence","volume":"35","author":"Jones RI","year":"1902","journal-title":"Ann Surg."},{"issue":"5","key":"ref2","doi-asserted-by":"crossref","first-page":"332","DOI":"10.5435\/00124635-200009000-00007","article-title":"Treatment strategies for acute fractures and nonunions of the proximal fifth metatarsal","volume":"8","author":"Rosenberg GA","year":"2000","journal-title":"J Am Acad Orthop Surg."},{"issue":"2","key":"ref3","doi-asserted-by":"crossref","first-page":"110","DOI":"10.5435\/00124635-199503000-00006","article-title":"Fractures of the Proximal Fifth Metatarsal: Selecting the Best Treatment Option","volume":"3","author":"Dameron TB Jr","year":"1995","journal-title":"J Am Acad Orthop Surg."},{"issue":"7","key":"ref4","doi-asserted-by":"crossref","first-page":"S470","DOI":"10.1097\/00005768-199907001-00008","article-title":"Foot and ankle problems in the young athlete","volume":"31","author":"Omey ML","year":"1999","journal-title":"Med Sci Sports Exerc."},{"issue":"2","key":"ref5","doi-asserted-by":"crossref","first-page":"290","DOI":"10.2106\/00004623-199302000-00019","article-title":"Fatigue fractures of the foot and ankle in the athlete","volume":"75","author":"Eisele SA","year":"1993","journal-title":"J Bone Joint Surg Am."},{"issue":"1","key":"ref6","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1136\/bjsm.14.1.40","article-title":"Stress fractures","volume":"14","author":"Orava S","year":"1980","journal-title":"Br J Sports Med."},{"issue":"4","key":"ref7","first-page":"1","article-title":"A review of the current treatment for fracture of the proximal fifth metatarsal first described by Jones","volume":"2","author":"Ortiguera CJ","year":"2000","journal-title":"Orthop Tech Rev."},{"issue":"6","key":"ref8","doi-asserted-by":"crossref","first-page":"776","DOI":"10.2106\/00004623-197860060-00008","article-title":"The Jones fracture revisited","volume":"60","author":"Kavanaugh JH","year":"1978","journal-title":"J Bone Joint Surg Am."},{"issue":"6","key":"ref9","doi-asserted-by":"crossref","first-page":"788","DOI":"10.2106\/00004623-197557060-00010","article-title":"Fractures and anatomical variations of the proximal portion of the fifth metatarsal","volume":"57","author":"Dameron TB Jr","year":"1975","journal-title":"J Bone Joint Surg Am."},{"issue":"7","key":"ref10","doi-asserted-by":"crossref","first-page":"970","DOI":"10.1177\/0363546504272262","article-title":"Early screw fixation versus casting in the treatment of acute Jones fractures","volume":"33","author":"Mologne TS","year":"2005","journal-title":"Am J Sports Med."},{"key":"ref11","first-page":"238","article-title":"Fractures of the fifth metatarsal Analysis of a fracture registry","volume":"(315)","author":"Clapper MF","year":"1995","journal-title":"Clin Orthop RelatRes."},{"issue":"1","key":"ref12","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1177\/03635465020300012301","article-title":"Intramedullary screw fixation of Jones fractures","volume":"30","author":"Larson CM","year":"2002","journal-title":"Analysis of failure. 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