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Combined Fracture of the Base of the Fifth Metatarsal and the Lateral Malleolus A Report of Five Cases
J. R. Pearson
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Manchester, England
1961 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1961; 43:513-516 
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Abstract

Five patients are described with a combined fracture of the lateral malleolus and the base of the fifth metatarsal—a combination not hitherto reported.

The mechanism of production of these double fractures is shown experimentally to consist in forced inversion while the foot is either dorsiflexed or at a right angle or slightly plantar flexed. Forced inversion with the ankle in plantar flexion produces a single fracture of the base of the fifth metatarsal.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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