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British Journal of Sports Medicine 2004;38:e13; doi:10.1136/bjsm.2003.008144
Copyright © 2004 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.

CASE REPORT

Avulsion fracture of peroneus longus at the first metatarsal insertion: a case report

T Murakami1, K Okamura1, S Harada2, M Setojima2, Y Ikushiba2, Y Miyamoto2, S Li2, M Yamada2

1 Hitachi Medical and Health Care Center, Ibaraki, Japan
2 Tsukuba Gakuen Hospital, Tsukuba, Japan

Correspondence to:
Correspondence to:
Tadashi Murakami
Hitachi Medical and Health Care Center, 2-28, 7-8 Kandatsu-higashi, Tsuchiura, Ibaraki 300-0012, Japan; t-murakami{at}m5.dion.ne.jp

ABSTRACT

Reports of isolated avulsion fracture at the planter lateral base of the first metatarsal without injury of the tarsometatarsal joint are very rare. A 24 year old man sustained an avulsion fracture at the plantar lateral base of the first metatarsal. Normal alignment of metatarsal bones and tarsometatarsal joint was maintained. In this paper, we describe internal fixation of the displaced fragment using x ray and minimally invasive surgery with good results.

Keywords: avulsion fracture; first metatarsal; peroneus longus; sports injury


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