Evidence map›Paper›PMID 40788314›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

Fifth metatarsal fracture mapping and associated clinical outcomes.

Jejelola Apata-Omisore, Abdul-Rahman Gomaa, S Aslam, L Marsh, A Paramasivan, N Ward, A Galhoum, Lyndon Mason

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jejelola Apata-OmisoreLiverpool Orthopaedic and Trauma Service, Liverpool University Hospitals NHS Foundation Trust, Lower Lane, Fazakerley, Liverpool, L9 7AL, UK. Jejelola.apata-omisore@aintree.nhs.uk.
Abdul-Rahman GomaaLiverpool Orthopaedic and Trauma Service, Liverpool University Hospitals NHS Foundation Trust, Lower Lane, Fazakerley, Liverpool, L9 7AL, UK.
S AslamLiverpool Orthopaedic and Trauma Service, Liverpool University Hospitals NHS Foundation Trust, Lower Lane, Fazakerley, Liverpool, L9 7AL, UK.
L MarshLiverpool Orthopaedic and Trauma Service, Liverpool University Hospitals NHS Foundation Trust, Lower Lane, Fazakerley, Liverpool, L9 7AL, UK.
A ParamasivanLiverpool Orthopaedic and Trauma Service, Liverpool University Hospitals NHS Foundation Trust, Lower Lane, Fazakerley, Liverpool, L9 7AL, UK.
N WardLiverpool Orthopaedic and Trauma Service, Liverpool University Hospitals NHS Foundation Trust, Lower Lane, Fazakerley, Liverpool, L9 7AL, UK.
A GalhoumLiverpool Orthopaedic and Trauma Service, Liverpool University Hospitals NHS Foundation Trust, Lower Lane, Fazakerley, Liverpool, L9 7AL, UK.
Lyndon MasonLiverpool Orthopaedic and Trauma Service, Liverpool University Hospitals NHS Foundation Trust, Lower Lane, Fazakerley, Liverpool, L9 7AL, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFifth metatarsal fractures are among the most common foot injuries. Classification of these fractures are commonly used to guide treatment, however the reliability of classification systems are variable.

methodsA historic cohort study of 2,165 patients with fifth metatarsal fractures managed at a Level 1 Major Trauma Centre between 2016 and 2023 was conducted. Fractures configurations were mapped to identify common patterns. Clinical outcomes including time to discharge (TTD), further clinic appointments (FCA), and operative intervention (OI) were assessed based on these common patterns.

resultsOf the 2,165 patients, 60.4% were discharged directly from the Virtual Fracture Clinic (VFC) and only 1.3% required operative intervention. Delayed union rates requiring surgery were low, with Zone 3 fractures demonstrating the highest rate at 2.74%. With fractures spanning multiple zones exhibiting a shorter TTD compared to isolated Zone 2 or 3 fractures. One third (33.3%) of fractures spanned multiple zones (e.g. Zone 1-3).

conclusionFifth metatarsal fractures have a low risk of delayed/non-union, irrespective of the zone of injury (ZOI). Current classification systems are incapable of guiding treatment due to their inability to accurately identify fractures that span multiple zones, with fracture mappings evidencing higher than reported variability in fracture configurations. LEVEL OF EVIDENCE: Level 3.

Indexed as

Foot InjuriesFractures, BoneMetatarsal BonesAdultAgedFemaleFracture HealingHumansMaleMiddle AgedRetrospective StudiesTrauma CentersTreatment OutcomeClinical outcomesDelayed unionFifth metatarsal fracturesFracture mapping

Identifiers

PMID40788314

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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.