ReviewCureus2025
Imaging-Based Classification of Fifth Metatarsal Fractures and Its Impact on Clinical Decision-Making: A Systematic Review.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Fifth metatarsal fractures are common forefoot injuries with variable healing potential and treatment outcomes depending on fracture location and type. Imaging-based classification systems provide radiographic frameworks to guide diagnosis, prognostication, and management, yet their reliability can vary. This systematic review evaluated existing imaging-based classifications for fifth metatarsal fractures, focusing on anatomical and radiographic criteria, reproducibility, and clinical impact. A comprehensive search of PubMed, Embase, Scopus, and the Cochrane Library was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines, including studies reporting reliability or clinical relevance of imaging-based classifications. Findings indicate that structured imaging classifications improve interobserver agreement, facilitate standardized treatment decisions, and correlate with functional outcomes. While traditional systems provide foundational guidance, imaging-integrated approaches, especially using CT or MRI, enhance accuracy in subtle or stress-related fractures. In conclusion, imaging-based classifications are essential for accurate diagnosis, risk stratification, and management of fifth metatarsal fractures, and future research should focus on standardized, multimodality frameworks to optimize clinical outcomes.
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Registered trials
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