Darabos Nikica, Obrovac Karlo, Knez Nikica, Darabos Anela, Hudetz Damir, Elabjer Esmat
Sports Trauma Department, University Clinic of Traumatology, Medical School, University of Zagreb, Zagreb, Croatia.
J Am Podiatr Med Assoc. 2009 Nov-Dec;99(6):529-35. doi: 10.7547/0990529.
The incidence of fifth metatarsal fracture is somewhat common in sports and can be complicated in nature. Fractures of the fifth metatarsal can occur at a number of locations. Although some of these fractures respond well to conservative treatment, others have been notoriously hard to heal, with high rates of nonunions and other complications. Foot orthotic devices are commonly used as aids in the treatment of foot problems. In our case, we considered the combined effect of the surgical treatment and application of the custom-made foot orthoses. Special attention was taken with adjustments to the orthotic devices along and beneath the affected regions of the foot for adequate pain management and quick recovery to return to normal sports activities. Requirements for computer aided design/computer aided manufacturing orthotic design and manufacturing in this case were specific and considerably different from the usual procedure.
第五跖骨骨折在体育运动中较为常见，且其性质可能较为复杂。第五跖骨骨折可发生于多个部位。尽管其中一些骨折对保守治疗反应良好，但另一些骨折 notoriously 难以愈合，不愈合率和其他并发症发生率较高。足部矫形器通常用作治疗足部问题的辅助工具。在我们的病例中，我们考虑了手术治疗与定制足部矫形器应用的联合效果。特别注意对足部受影响区域及其下方的矫形器进行调整，以实现充分的疼痛管理并快速恢复以重返正常体育活动。在这种情况下，计算机辅助设计/计算机辅助制造矫形器设计和制造的要求具有特殊性，与通常程序有很大不同。
