ArticleBMJ open2019
Playing football on artificial turf as a risk factor for fifth metatarsal stress fracture: a retrospective cohort study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- An overview of the risk factors for producing fifth metatarsal fracture in sports activities: A systematic review.Journal of foot and ankle research · 2024Pooled it
- Risk factors of metatarsal stress fracture associated with repetitive sports activities: a systematic review.Frontiers in bioengineering and biotechnology · 2024Pooled it
- Hip internal rotation restriction and heel raise mechanics as risk factors for Jones fractures in youth football players.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2025Article
- Stress fracture risk factors in soccer players: A systematic review.Annals of medicine and surgery (2012) · 2025Review
- Characteristics of Plantar Pressure Distribution During Running and Musculoskeletal Factors Associated With Jones Fracture in Young Female Soccer Players: A Prospective Study.Orthopaedic journal of sports medicine · 2025Article
- Predictors of Risk of Muscle Injury in Non-Professional Soccer Players: An Ambispective Cohort Study.Sports (Basel, Switzerland) · 2024Article
- Awareness of fifth metatarsal stress fractures among soccer coaches in Japan: A cross-sectional study.PloS one · 2024Article
- External training load is associated with adaptation in bone and body composition over the course of a season in elite male footballers.Bone reports · 2023Article
- Uncommon Bone Injuries in Soccer Players.Journal of human kinetics · 2021Article
- The Fifth Metatarsal Bone Fracture in Athletes - Modalities of Treatment Related to Agility in Soccer Players.Journal of human kinetics · 2021Article
- Anatomic Characteristics of Tissues Attached to the Fifth Metatarsal Bone.Orthopaedic journal of sports medicine · 2020Article
- Jones Fractures in Sumo Wrestlers: Three Case Reports.Case reports in orthopedics · 2019Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe fifth metatarsal stress fracture is a common injury among football players. Although several risk factors have been proposed, the association between the playing surface and development of fifth metatarsal stress fractures (MT-5) has not been evaluated. We conducted an epidemiological study using a computer-based survey to investigate the association between the playing surface and development of MT-5.
methodsThis study included 1854 football players, of which 41 experienced MT-5 within the past 24 months. Baseline demographic data and the percentage of time spent playing on artificial turf and clay fields were compared between the non-MT-5 and MT-5 player groups, and the risks for development of MT-5 associated with the playing surfaces were estimated by univariate and multivariate analyses.
resultsThere were significant differences in body mass index, years of play, playing categories and playing time on artificial turf between non-MT-5 and MT-5 groups (p<0.05). Generalised estimating equations analyses adjusted for multiple confounders demonstrated that relative to the risk of playing <20% of the time on each surface, the OR (OR: 95% CI) for MT-5 for playing on artificial turf >80% of the time increased (3.44: 1.65 to 7.18), and for playing on a clay field 61%-80% of the time, the OR decreased (0.25: 0.11 to 0.59).
conclusionsA higher percentage of playing time on an artificial turf was a risk factor for developing MT-5 in football players. This finding could be beneficial for creating strategies to prevent MT-5.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.