Is Subtle Cavovarus a Problem for Athletes?

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Abstract

[Indexed for MEDLINE] 4. Clin Sports Med. 2020 Oct;39(4):793-799. doi: 10.1016/j.csm.2020.07.006. Cavovarus: Fifth Metatarsal Fractures and Revision Open Reduction Internal Fixation. Jones CP(1). Author information: (1)OrthoCarolina Foot & Ankle Institute, Atrium MSK Institute, 2001 Vail Avenue, Suite 200B, Charlotte, NC 28207, USA. Electronic address: carrolljones3@gmail.com. Proximal fifth metatarsal fractures, specifically zones 2 and 3, are often treated surgically to lower risk of nonunion and shorten recovery and rehabilitation period. However, even with the advancement of surgical strategies, techniques, and implants, nonunions remain a challenge. One notable risk factor for a primary or recurrent Jones fracture is the cavovarus foot. If this is identified and a recurrent fifth metatarsal base fracture occurs, the surgeon should strongly consider addressing the malalignment in addition to revision open reduction internal fixation. This article provides guidelines for treatment of a recurrent fracture or nonunion with a concomitant cavovarus foot deformity. Copyright © 2020 Elsevier Inc. All rights reserved. DOI: 10.1016/j.csm.2020.07.006