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  • Title: Cavovarus: Fifth Metatarsal Fractures and Revision Open Reduction Internal Fixation.
    Author: Jones CP.
    Journal: Clin Sports Med; 2020 Oct; 39(4):793-799. PubMed ID: 32892967.
    Abstract:
    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.
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