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Acute, isolated fractures of the metatarsal bones: an epidemiologic study

INTRODUCTION: Although metatarsal fractures are common, the significance of previous epidemiologic studies is limited to specific fracture entities, subpopulations, or heterogeneous fracture aetiologies. The aim of the study was to assess the epidemiology of isolated metatarsal fractures in an adult...

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Autores principales: Herterich, Viktoria, Hofmann, Luzie, Böcker, Wolfgang, Polzer, Hans, Baumbach, Sebastian Felix
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10030529/
https://www.ncbi.nlm.nih.gov/pubmed/35235028
http://dx.doi.org/10.1007/s00402-022-04396-3
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author Herterich, Viktoria
Hofmann, Luzie
Böcker, Wolfgang
Polzer, Hans
Baumbach, Sebastian Felix
author_facet Herterich, Viktoria
Hofmann, Luzie
Böcker, Wolfgang
Polzer, Hans
Baumbach, Sebastian Felix
author_sort Herterich, Viktoria
collection PubMed
description INTRODUCTION: Although metatarsal fractures are common, the significance of previous epidemiologic studies is limited to specific fracture entities, subpopulations, or heterogeneous fracture aetiologies. The aim of the study was to assess the epidemiology of isolated metatarsal fractures in an adult population at a level-1 trauma centre. MATERIALS AND METHODS: Radiological and clinical databases were searched for a five-year period. Eligible were all patients with acute isolated metatarsal fractures over the age of 18 years with radiographs in two planes available. Stress fractures, injuries affecting Lisfranc joint stability, and concomitant injuries to other regions than the metatarsals were excluded. Data collection included general demographics, mechanism of injury, season of the trauma and fracture details. RESULTS: Out of 3259 patients, 642 patients met the inclusion criteria and were included for the analysis. The patients’ mean age was 44.5 ± 18.9 years, 50.6% were female. 83.3% suffered an isolated, 16.7% multiple metatarsal fractures. Single metatarsal fractures occurred predominantly at the fifth metatarsal bone (81.3%), their frequency decreased with increasing age, with a seasonal peak during the summer. Patients suffering multiple metatarsal fractures were significantly older (51.6 ± 21.2 vs. 43.0 ± 18.1 years; p < 0.001) and the injury resulted significantly more often from a high-energy trauma (6.7% vs. 23.4%; p < 0.001). Multiple metatarsal fractures occurred evenly throughout all metatarsals but revealed a focus on female population with no seasonal differences. CONCLUSION: Single metatarsal fractures predominantly occurred at the fifth metatarsal bone and showed a seasonal, gender and age dependency. Multiple metatarsal fractures were homogeneously distributed between the different metatarsals with distinct age-dependent gender differences. LEVEL OF EVIDENCE: Level III.
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spelling pubmed-100305292023-03-23 Acute, isolated fractures of the metatarsal bones: an epidemiologic study Herterich, Viktoria Hofmann, Luzie Böcker, Wolfgang Polzer, Hans Baumbach, Sebastian Felix Arch Orthop Trauma Surg Trauma Surgery INTRODUCTION: Although metatarsal fractures are common, the significance of previous epidemiologic studies is limited to specific fracture entities, subpopulations, or heterogeneous fracture aetiologies. The aim of the study was to assess the epidemiology of isolated metatarsal fractures in an adult population at a level-1 trauma centre. MATERIALS AND METHODS: Radiological and clinical databases were searched for a five-year period. Eligible were all patients with acute isolated metatarsal fractures over the age of 18 years with radiographs in two planes available. Stress fractures, injuries affecting Lisfranc joint stability, and concomitant injuries to other regions than the metatarsals were excluded. Data collection included general demographics, mechanism of injury, season of the trauma and fracture details. RESULTS: Out of 3259 patients, 642 patients met the inclusion criteria and were included for the analysis. The patients’ mean age was 44.5 ± 18.9 years, 50.6% were female. 83.3% suffered an isolated, 16.7% multiple metatarsal fractures. Single metatarsal fractures occurred predominantly at the fifth metatarsal bone (81.3%), their frequency decreased with increasing age, with a seasonal peak during the summer. Patients suffering multiple metatarsal fractures were significantly older (51.6 ± 21.2 vs. 43.0 ± 18.1 years; p < 0.001) and the injury resulted significantly more often from a high-energy trauma (6.7% vs. 23.4%; p < 0.001). Multiple metatarsal fractures occurred evenly throughout all metatarsals but revealed a focus on female population with no seasonal differences. CONCLUSION: Single metatarsal fractures predominantly occurred at the fifth metatarsal bone and showed a seasonal, gender and age dependency. Multiple metatarsal fractures were homogeneously distributed between the different metatarsals with distinct age-dependent gender differences. LEVEL OF EVIDENCE: Level III. Springer Berlin Heidelberg 2022-03-02 2023 /pmc/articles/PMC10030529/ /pubmed/35235028 http://dx.doi.org/10.1007/s00402-022-04396-3 Text en © The Author(s) 2022, corrected publication 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Trauma Surgery
Herterich, Viktoria
Hofmann, Luzie
Böcker, Wolfgang
Polzer, Hans
Baumbach, Sebastian Felix
Acute, isolated fractures of the metatarsal bones: an epidemiologic study
title Acute, isolated fractures of the metatarsal bones: an epidemiologic study
title_full Acute, isolated fractures of the metatarsal bones: an epidemiologic study
title_fullStr Acute, isolated fractures of the metatarsal bones: an epidemiologic study
title_full_unstemmed Acute, isolated fractures of the metatarsal bones: an epidemiologic study
title_short Acute, isolated fractures of the metatarsal bones: an epidemiologic study
title_sort acute, isolated fractures of the metatarsal bones: an epidemiologic study
topic Trauma Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10030529/
https://www.ncbi.nlm.nih.gov/pubmed/35235028
http://dx.doi.org/10.1007/s00402-022-04396-3
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