ReviewEFORT open reviews2022
Fifth metatarsal fractures: an update on management, complications, and outcomes.
Review in EFORT open reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Jones fractures in elite athletes-2025 International Foot and Ankle Sports Consensus and systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Pooled it
- Outcome of avulsion fractures in the foot after supination trauma: A systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Pooled it
- 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
- Navicular and fifth metatarsal base stress fractures: An illustrated anatomical review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Review
- Mechanically stable but biologically inactive Jones fracture nonunion managed without immediate revision surgery: a case report.Journal of medical case reports · 2026Article
- Clinical and Biomechanical Determinants of Fixation Failure in Fifth Metatarsal Fractures: Implications for Surgical Decision-Making.Journal of clinical medicine · 2026Review
- Biomechanical Comparison of Different Fixation Methods for Treating Jones Fracture of the Fifth Metatarsal.Bioengineering (Basel, Switzerland) · 2026Article
- Gait changes in daily life during the healing process of fifth metatarsal fracture: a case report.Journal of medical case reports · 2026Article
- Pulsed Electromagnetic Field (PEMF) Stimulation for the Treatment of Fifth Metatarsal Fracture Nonunion.Orthopedic reviews · 2026Article
- [Non-Unions of the lower extremities].Chirurgie (Heidelberg, Germany) · 2025Review
- Comparative Biomechanical Evaluation of Hook-Plate Versus Bicortical Screw Fixation for Fifth Metatarsal Avulsion Fractures.Journal of clinical medicine · 2025Article
- Comparison of nice knot internal fixation with Kirschner wire external fixation and tension band wiring for Lawrence zone I fractures of the fifth metatarsal base: a retrospective case-control study.Journal of orthopaedic surgery and research · 2025Article
- Diagnostic yield of multiple X-ray imaging requests of lower limb extremities.The British journal of radiology · 2025Article
- Fifth metatarsal fracture mapping and associated clinical outcomes.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Detecting Fifth Metatarsal Fractures on Radiographs Through the Lens of Smartphones: The FIXUS AI Algorithm.Cureus · 2025Article
- Base of Fifth Metatarsal Fractures: A Meta-analysis of Plate Fixation.Indian journal of orthopaedics · 2025Article
- Comparative study of cannulated compression headless screws and anatomical locking compression hook plates for fracture of fifth metatarsal base in athletes and young adults.Journal of orthopaedic surgery and research · 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
- The Incredible Odyssey of Jones.Journal of orthopaedic case reports · 2024Article
- Biomechanical comparisons of F.E.R.I. techniques with different type of intramedullary screws fixation for Jones fractures.Frontiers in bioengineering and biotechnology · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Even though fifth metatarsal fractures represent one of the most common injuries of the lower limb, there is no consensus regarding their classification and treatment, while the term 'Jones' fracture has been used inconsistently in the literature. In the vast majority of patients, Zone 1 fractures are treated non-operatively with good outcomes. Treatment of Zone 2 and 3 fractures remains controversial and should be individualized according to the patient's needs and the 'personality' of the fracture. If treated operatively, anatomic reduction and intramedullary fixation with a single screw, with or without biologic augmentation, remains the 'gold standard' of management; recent reports however report good outcomes with open reduction and internal fixation with specifically designed plating systems. Common surgical complications include hardware failure or irritation of the soft tissues, refracture, non-union, sural nerve injury, and chronic pain. Patients should be informed of the different treatment options and be part of the decision process, especially where time for recovery and returning to previous activities is of essence, such as in the case of high-performance, elite athletes.
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Registered trials
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.