Fifth metatarsal fractures – Is routine follow-up necessary?

Ferguson, Kim; McGlynn, J.; Jenkins, Paul J.; Madeley, N. Jane; Kumar, Chinnasamy Senthil; Rymaszewski, L A

doi:10.1016/j.injury.2015.05.041

Cited by 59 publications

(56 citation statements)

References 7 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Finally, we conclude that weight-bearing restrictions and perhaps a follow-up period are not necessary, as stated by Marecek and Ferguson 44,45 , respectively, for minimally displaced Type-1(all sub-types) and Type-2 fractures. In fact, the study reveals the excellent results of these fractures managed conservatively by early loading in both groups, without any benefit of the cast with to respect to the functional elasticated bandage, although an quicker return to sports was noted in the FG.…”

Section: Biz Et Alsupporting

confidence: 56%

Early radiographic and clinical outcomes of minimally displaced proximal fifth metatarsal fractures: cast vs functional bandage

Biz

Zamperetti

Gasparella

et al. 2017

MLTJ

View full text Add to dashboard Cite

SummaryBackground: The purpose of this non-randomized retrospective study was to investigate outcomes of minimally displaced, proximal 5MTB fractures, treated by a below-knee walking cast or a functional elasticated bandage with a support of a flat hardsoled shoe. Methods: A consecutive patient series was divided into two groups: the cast group (CG) and the functional group (FG). The subjects were radiologically and clinically evaluated according to Mehlhorn and Lawrence-Botte classification, and AOFAS Midfoot score, respectively. Results: 154 patients were followed up for a median of 15 months (range 12-24). There was no significant difference (p > 0.05) among the outcomes of each fracture pattern regarding the treatment choice.However, an earlier return to sports was noted in the FG, while Type-3 fractures achieved the worst results. Conclusion: Type-1 and 2 minimally displaced 5MTB proximal fractures can be successfully treated conservatively without weight-bearing restriction and without benefit of a cast with respect to a functional elasticated bandage. Level of clinical evidence: level III retrospective comparative study.

show abstract

Section: Biz Et Alsupporting

confidence: 56%

Early radiographic and clinical outcomes of minimally displaced proximal fifth metatarsal fractures: cast vs functional bandage

Biz

Zamperetti

Gasparella

et al. 2017

MLTJ

View full text Add to dashboard Cite

show abstract

“…The study did not investigate union rates because these rates are well reported and accepted and functional outcomes are usually good, regardless of radiographic union status. 6,16 Finally, this study may have had an element of selection bias. Although the authors identified 297 fifth metatarsal fractures, they excluded patients with polytrauma and neuropathic fractures because these fractures have a different mechanism of injury than an isolated fifth metatarsal fracture.…”

Section: Limitationsmentioning

confidence: 99%

“…4 Numerous studies have shown success with treating Jones fractures nonoperatively with immobilization and non-weight bearing. 4,[6][7][8][9][10][11] Recent findings suggested that Jones fractures can be treated with early weight bearing with good results and no need for routine follow-up. 6 Significant data are available on the union rates of proximal fifth metatarsal fractures, but little is known about functional outcomes.…”

Section: Introductionmentioning

confidence: 99%

Functional Outcomes for Nonoperatively Treated Proximal Fifth Metatarsal Fractures

Dineen¹,

Murphy²,

Mangat³

et al. 2017

Orthopedics

View full text Add to dashboard Cite

Fractures of the proximal fifth metatarsal are relatively common and can be treated with a variety of treatment modalities. The goals of the current study were to answer the following questions: (1) Is there a difference in functional outcomes with different nonoperative treatment modalities for avulsion and Jones fractures? (2) What is the long-term functional impairment? This study included 53 patients who were treated for proximal fifth metatarsal fracture at 1 university health care system between 2004 and 2013. Treatment methods included shoe modification, cast, and boot. Patients completed a telephone questionnaire that included selected questions from the Musculoskeletal Outcomes Data Evaluation and Management System (MODEMS). Treatment groups were stratified as shoe modification or immobilization, and the results of the MODEMS survey were compared. At most recent follow-up, no significant difference was found between the 2 patient groups (P=.062) for self-reported effects of the injury on work and quality of life. No significant difference was found for frequency of use of pain medication (P=.157), patient satisfaction with current symptoms (P=.633), ambulatory status (P=.281), or pain level with strenuous activity (P=.772). Obese patients were more likely to have severe pain with strenuous activity (P=.015). Most (87%) patients were able to ambulate without the need for assistive devices. Of the study patients, 79% could wear dress shoes, excluding high heels, comfortably. The findings showed that patients who were treated with a variety of nonoperative methods for closed proximal fifth metatarsal fracture had acceptable functional outcomes, regardless of treatment method. [Orthopedics. 2017; 40(6):e1030-e1035.].

show abstract

“…Furthermore, routine outpatient follow-up of 5 th MT fracture has no added clinical value and can be discharged from the Emergency Department and allowed weight bearing as tolerated, provided adequate discharge advice is given (Ferguson et al 2013).…”

Section: Non-operative Outcomementioning

confidence: 99%

Decision Making in Management of Proximal Fifth Metatarsal Fracture: A Short Review

Haslan¹,

Zar²,

Yahaya³

2016

View full text Add to dashboard Cite

ABSTRAK ABSTRACTFifth metatarsal bone fracture is one of the most commonest fractures of the foot. The decision for surgical or conservative approach is still inconclusive. Scoring system, decision analysis model and classification system are established to weigh between surgical and conservation approaches. Its unique anatomy and surgical complication influence decision on optimal surgical approach. Therefore, the present review attempts to look at factors that might influence decision making in management of fifth metatarsal fracture.

show abstract

Fifth metatarsal fractures – Is routine follow-up necessary?

Cited by 59 publications

References 7 publications

Early radiographic and clinical outcomes of minimally displaced proximal fifth metatarsal fractures: cast vs functional bandage

Early radiographic and clinical outcomes of minimally displaced proximal fifth metatarsal fractures: cast vs functional bandage

Functional Outcomes for Nonoperatively Treated Proximal Fifth Metatarsal Fractures

Decision Making in Management of Proximal Fifth Metatarsal Fracture: A Short Review

Contact Info

Product

Resources

About