$fifth metatarsal fracture$

$fifth metatarsal fracture$

FIFTH METATARSAL FRACTURE FULL

Of 372 isolated metatarsal fractures, 30% involved the base of MT5 (Figure 1). For the present review, the authors conducted a retrospective analysis of their own patient population over a period of two years (eFlowchart). 6.7 per 100 000 persons ( 1), with the base of the fifth metatarsal bone (MT5) being most commonly involved. Metatarsal fractures are among the most common foot injuries, with an incidence of approx. In contrast, fractures in zone III should primarily be treated surgically. There seems to be no reason to consider zone I and II fractures as two separate entities, as the outcomes in the two groups are similar. One RCT compared surgery and immobilization for zone III fractures: surgery led to statistically significant improvement of the outcome in all of the measured parameters.Ĭonclusion: Fractures in zones I and II should be treated with early functional therapy. Five studies compared fractures in zones I and II that were treated in the same manner, revealing similar outcomes. One RCT that compared functional therapy with immobilization for zone II fractures revealed no statistically significant difference. 46 days p<0.05) with early functional therapy, and similar outcomes for immobilization and surgery.

FIFTH METATARSAL FRACTURE FULL

The non-randomized studies revealed a faster return to full function (33 vs. 28 days p = 0.001), with otherwise similar outcomes. Two of these were randomized controlled trials (RCTs) in one RCT, patients given functional therapy returned to work much sooner than those treated with immobilization (11 vs. Results: Nine studies compared different treatments of zone I fractures. Studies were included that compared the treatment of two types of fracture in the same manner, or that compared two different treatments for a single type of fracture. Methods: The three fracture localizations according to Lawrence and Botte (zone I, proximal to the intermetatarsal joint between the fourth and fifth metatarsal bones zone II, in the area of the joint zone III, at the distal end of the joint) are analyzed on the basis of a systematic literature search. Nevertheless, no evidence-based treatment recommendations are available to date. Approximately 30% of metatarsal fractures affect the base of the fifth metatarsal bone. Prognostic study, Level II: Retrospective Study.Įpidemiology fracture metatarsal trauma.Background: Metatarsal fractures are among the most common foot and ankle injuries, with an annual incidence of 6.7 per 100 000 persons. In older patient populations, females account for the majority of fifth metatarsal fractures. In younger patient populations, males account for the majority of fifth metatarsal fractures. Gender and age have a role in fracture incidence. Mechanism of injury is a predictor for fracture location. Males accounted for more fractures among younger patients and females accounting for the majority of fractures among older patients. A positive predictive value existed for age and gender with respect to the incidence of fractures. A significant correlation between gender and fracture location was seen with women sustaining 75% of zone 1 injuries and 84% of dancer's fractures. Twisting injuries were a statistically significant predictor of zone 1 injuries. Statistical analysis was used to predict whether demographics and mechanism of injury were statistically significant for types of fractures and whether gender and age were positive predictive values for fifth metatarsal fractures. Demographics and mechanism of injury were assessed to determine their predictive value for the type of fracture. Patient demographics were recorded and fractures categorized by location and mechanism of injury. We reviewed 1275 fifth metatarsal fractures treated at a multicenter orthopaedic practice attempting to classify mechanism of injury and patient demographics as they pertain to specific fracture patterns. While a number of studies exist focusing on specific fracture patterns and patient populations, a large comprehensive epidemiologic study on the general public does not. A paucity of data exists studying the epidemiology of fifth metatarsal fractures.

$fifth metatarsal fracture$

Fifth metatarsal fracture