{"@context":"http://iiif.io/api/presentation/2/context.json","@type":"sc:Manifest","@id":"https://iiif.quartexcollections.com/texas-wesleyan/iiif/4e96b970-1229-414a-be53-2a5f71161229/manifest","label":"StuW_118","metadata":[{"label":"Source","value":"CSBFM"},{"label":"Identifier","value":"s2016057"},{"label":"Format","value":["Document (PDF)"]},{"label":"Rights","value":["open access"]},{"label":"Language","value":["English"]},{"label":"Subject","value":["exercise science","football","injury"]},{"label":"Publisher","value":"Texas Wesleyan University"},{"label":"Type","value":["text"]},{"label":"Description","value":"Background: A 17-year-old male football player present with pain over the base of the fifth metatarsal. The patient stated that while playing in a football game, he planted his foot and rotated. It was not until the next play that he started feeling considerable pain. The athletic trainers tried placing a metal plate insert into the patient's shoe to provide some comfort, but this did not help the athlete at all. They then re-evaluated his injury and with the use of the Ottawa Ankle rules, they pre-diagnosed him with a base of the fifth metatarsal fracture. Differential Diagnosis: Midfoot sprain, ankle sprain, metatarsal fracture, base of the fifth metatarsal fracture, peroneal strain, avulsion fracture of the peroneal. Treatment: The patient was referred to the team doctor that night and received an X-ray. The X-ray revealed a base of the fifth metatarsal fracture. The patient had surgery 3 weeks later at a local community hospital. The surgeon placed a single pin straight through the metatarsal which was revealed to be successful in the post-op xray. The patient was then taken through a two-month rehabilitation protocol. After returning to play for one week, he re-injured the same foot but ignored his symptoms because it did not feel the same as the first injury. The athletic trainers treated it just as before and limited his play time in football. When the athletic trainers realized that his condition was not improving, they decided to re-evaluate. The second differential diagnosis was narrowed down to either a Jones fracture or scar tissue that was irritating the base of the fifth metatarsal. They decided then to proceed with referral for another X-ray. The patient was referred for another X-ray which results revealed that he had broken the original pin. The athlete was referred to the team orthopedist who did the surgery personally. During his second surgical procedure, the physician opted for a metal plate to allow for optimal healing of the bone. The athlete was then placed on a very strict protocol that did not allow him to return to play for 5 months. Uniqueness: In most cases for surgery, following through with a protocol usually allows the bone enough time to heal. In this case, the original surgery did not provide enough structural integrity and the patient was required to undergo a second, more substantial surgery. The complications of the injury reoccurring could have been due to misplacement of the pin, the durability of the pin being placed, or the bone density of the athlete. Conclusions: Presented is an 18-year-old with a base of the fifth metatarsal fracture. It is important for healthcare professionals to realize that each specific athlete's case needs to be taken into a little bit more consideration. The patient's surgeon should have looked at the patient's bone density and considered the activities that the athlete would be participating in and the patient's athletic trainers should have taken a little bit more precaution as to the protocol that he was supposed to follow and strengthened him more before returning him to play."},{"label":"Coverage","value":"Spring 2019"},{"label":"Date","value":"D:17 M:04 Y:2019"},{"label":"Title","value":"Consecutive Base of the Fifth Metatarsal Fractures in a High School Football Player"},{"label":"Contributor","value":["Procter-Willman, Chelsea"]},{"label":"Creator","value":["Zuniga, Breanne"]},{"label":"Repository","value":["Academic Archive"]},{"label":"Creator Status","value":"student"},{"label":"School Affiliation","value":["School of Education"]},{"label":"Department Affiliation","value":["Kinesiology Department Athletic Training Program"]},{"label":"Faculty Sponsor","value":"Rast, Pamela"},{"label":"Metadata Creator","value":"car"},{"label":"Date Added","value":"6/10/2019"},{"label":"Format Genre","value":["University College Day"]}],"description":"Consecutive Base of the Fifth Metatarsal Fractures in a High School Football Player","sequences":[{"@type":"sc:Sequence","canvases":[{"@id":"https://iiif.quartexcollections.com/texas-wesleyan/iiif/4e96b970-1229-414a-be53-2a5f71161229/canvas/_1","@type":"sc:Canvas","label":"StuW_118-1","height":2700,"width":4500,"images":[{"@type":"oa:Annotation","motivation":"sc:painting","resource":{"@id":"https://iiif.quartexcollections.com/texas-wesleyan/iiif/702e6113-250f-42b8-818e-d4e1192a125c/full/full/0/default.jpg","@type":"dctypes:Image","format":"image/jpeg","service":{"@context":"http://iiif.io/api/image/2/context.json","@id":"https://iiif.quartexcollections.com/texas-wesleyan/iiif/702e6113-250f-42b8-818e-d4e1192a125c","profile":"http://iiif.io/api/image/2/level2.json","tiles":[{"width":1024,"scaleFactors":[1,2,4,8]}]},"height":2700,"width":4500},"on":"https://iiif.quartexcollections.com/texas-wesleyan/iiif/4e96b970-1229-414a-be53-2a5f71161229/canvas/_1","metadata":[]}],"thumbnail":{"@id":"https://iiif.quartexcollections.com/texas-wesleyan/iiif/702e6113-250f-42b8-818e-d4e1192a125c/full/500,500/0/default.jpg","@type":"dctypes:Image","height":500,"width":500}}]}],"thumbnail":"https://iiif.quartexcollections.com/texas-wesleyan/iiif/702e6113-250f-42b8-818e-d4e1192a125c/full/300,300/0/default.jpg","logo":"https://iiif.quartexcollections.com/texas-wesleyan/iiif/logo"}