![]() ![]() In their review of foot injuries among athletes, Boutefnouchet et al noted that these fractures are 10 times more likely to occur in males, with a mean age of 26 years. In the normal adult population, females tend to sustain the injury more than males at a ratio of 2:1 however, in sports, which are primarily dominated by males, these injuries are more common among males. Statistically, metatarsal fractures account for a significant proportion of foot injuries, comprising 35% of fractures within the foot region and approximately 5%-6% of all skeletal injuries, with an estimated incidence of 6.0 individuals. Jones fracture was first described in 1902 by Sir Robert Jones as a unique type of fracture of the base of the fifth metatarsal he described this fracture as being 1/3 inch from the base. OVERVIEW OF THE TYPES OF FIFTH METATARSAL JONES FRACTURES Operative intervention is further evaluated primarily with respect to screw vs plate fixation techniques. This review focuses on defining this fracture subtype and the efficacy of both operative and nonoperative treatment options. Surgical treatment is often recommended for athletes, as it is often associated with a low number of complications and a higher rate of union than nonoperative treatment. Several research studies have demonstrated that nonoperative treatment pathways can be used successfully in these types of fractures, although concern exists about delayed and nonunion fractures. Treatment recommendations often depend on the location and understanding of the fracture anatomy in addition to the patient's underlying health. However, while this fracture type occurs frequently in the sporting world, there is still a lack of consensus on how such fractures should be effectively managed, especially in an industry where time is often of the essence. These fractures may occur due to several movement mechanisms, but inversions and twisting injuries are considered some of the leading causes in sports. Jones type fifth metatarsal fractures are a common occurrence among athletes at all levels. This review will focus on literature regarding the prevalence of Jones type fifth metatarsal fracture, alongside the efficacy of both conservative and surgical treatment within this population. Surgical stabilization of metatarsal Jones fractures is therefore often recommended for athletes, as it is often associated with a low number of complications and a higher rate of union than nonoperative management. The role of nonoperative treatment remains controversial, with concerns about delayed union and nonunion. There are numerous treatment options for patients with fifth metatarsal Jones fractures. However, while Jones fracture incidences are frequent in the sporting world, there is still a lack of consensus on how such fractures should be effectively managed. These fractures may occur due to several mechanisms, but inversions and twisting injuries are considered some of the leading causes in sports. If it's a simple fracture that the doctor only needs to monitor for a month or two, I would not have them bill fracture care.Jones type fifth metatarsal fracture is a common occurrence among athletes at all levels. I would add that I would not want the physician to "initiate fracture care" on a fracture that they know they don't need to follow for 90 days or close to that. If the physician has not documented that they are initiating fracture care, the code is not supported. And it's very easy, all they have to document is that they are "initiating fracture care" for this fracture. If the physician chooses to bill fracture care - that decision must be included in the documentation - or the code is not supported. As always the documentation must support the code being billed. Or, your physician can bill fracture care such as 28470, but if this is what your physician wants they MUST document this. Your doctor can choose to bill out office visits every time the patient returns for a follow up visit. This may sound a bit odd, but the answer depends on what your doctor decides to do and it is their decision. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |