Fractures of the proximal fifth metatarsal that are distal to the tuberosity require more aggressive treatment. This includes fractures of the metaphyseal-diaphyseal junction (Figure 5) and fractures of the diaphysis (Figure 6). Complications such as delayed union and nonunion are common.
Extramedullary spinal tumors are far more common than intramedullary tumors. The most common extramedullary spinal tumors are meningiomas and schwannomas and they are both generally benign tumors. Meningiomas arise from arachnoid cells within the tissues of the spinal cord.
Spinal cord tumors may be classified as one of three different types depending on where they occur relative to the protective membranes of the spinal cord. These are the main types of intradural tumors: