ReviewOrthopaedic journal of sports medicine2021
Surgical Management of Proximal Fifth Metatarsal Fractures in Elite Athletes: A Systematic Review.
Review in Orthopaedic journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Focused extracorporeal shock wave therapy following intramedullary screw fixation for Jones fractures in high-level athletes may be associated with earlier bone union and return to sport.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2026Article
- Comparative Biomechanical Evaluation of Bicortical Screw Versus Plate Fixation in Jones Fractures of the Fifth Metatarsal Using 3D-Printed Models.Journal of clinical medicine · 2025Article
- Base of Fifth Metatarsal Fractures: A Meta-analysis of Plate Fixation.Indian journal of orthopaedics · 2025Article
- Comparison of Clinical and Radiographic Outcomes Between Solid Headless and Headed Screws in the Treatment of Zone II and III Fifth Metatarsal Fractures in Elite Athletes.Foot & ankle orthopaedics · 2024Article
- Use of allograft bone matrix in clinical orthopedics.Regenerative medicine · 2024Review
- Auditing the Representation of Female Athletes in Sports Medicine Research: Fifth-Metatarsal Fractures.Foot & ankle orthopaedics · 2024Article
- Significance of prothrombin, activated partial thromboplastin, and thrombin times in early rehabilitation after tibial fracture surgery.American journal of translational research · 2024Article
- Jones Fracture in the National Football League.Sports (Basel, Switzerland) · 2023Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs a result of the high physical demand in sport, elite athletes are particularly prone to fifth metatarsal fractures. These injuries are typically managed surgically to avoid high rates of delayed union and allow for quicker return to play (RTP). PURPOSE: To review studies showing clinical and radiographic outcomes, RTP rates, and complication rates after different surgical treatment modalities for fifth metatarsal fractures exclusively in elite-level athletes. STUDY
designSystematic review; Level of evidence, 4.
methodsA systematic search was conducted within the PubMed, Scopus, and Cochrane databases from January 2000 to January 2020. Inclusion criteria consisted of clinical outcome studies after operative management of fifth metatarsal fractures in elite athletes. Exclusion criteria consisted of nonoperative management, high school or recreational-level athletic participation, nonclinical studies, expert opinions, and case series with <5 patients.
resultsA total of 12 studies met inclusion and exclusion criteria, comprising 280 fifth metatarsal fractures treated surgically. Intramedullary screw fixation was the most common fixation construct (47.9%), and some form of intraoperative adjunctive treatment (calcaneal autograft, iliac crest bone graft, bone marrow aspirate concentrate, demineralized bone matrix) was used in 67% of cases. Radiographic union was achieved in 96.7% of fractures regardless of surgical construct used. The overall mean time to union was 9.19 weeks, with RTP at a mean of 11.15 weeks. The overall reported complication rate was 22.5%, with varying severity of complications. Refracture rates were comparable between the different surgical constructs used, and the overall refracture rate was 8.6%.
conclusionElite athletes appeared to have a high rate of union and reliably returned to the same level of competition after surgical management of fifth metatarsal fractures, irrespective of surgical construct used. Despite this, the overall complication rate was >20%. Specific recommendations for optimal surgical management could not be made based on the heterogeneity of the included studies.
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