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Functional outcome of 103 fractures of the proximal fifth metatarsal bone
BACKGROUND: Metatarsal fractures are common skeletal injuries of the lower extremity in adults. The majority involves the proximal fifth metatarsal bone. In the current literature, there still exists controversy regarding treatment recommendations for the different fracture entities. METHODS: All pa...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8686254/ https://www.ncbi.nlm.nih.gov/pubmed/34930495 http://dx.doi.org/10.1186/s40001-021-00623-6 |
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author | Pflüger, Patrick Zyskowski, Michael Müller, Michael Kirchhoff, Chlodwig Biberthaler, Peter Crönlein, Moritz |
author_facet | Pflüger, Patrick Zyskowski, Michael Müller, Michael Kirchhoff, Chlodwig Biberthaler, Peter Crönlein, Moritz |
author_sort | Pflüger, Patrick |
collection | PubMed |
description | BACKGROUND: Metatarsal fractures are common skeletal injuries of the lower extremity in adults. The majority involves the proximal fifth metatarsal bone. In the current literature, there still exists controversy regarding treatment recommendations for the different fracture entities. METHODS: All patients suffering from single fractures to the proximal fifth metatarsal bone between 2003 and 2015 were enrolled in this retrospective analysis. Only patients with a minimum follow-up of 12 months were included. The fractures were classified according to Lawrence and Botte (L&B). Data were collected via patient registry, radiographs and a standardized questionnaire (Foot and Ankle Outcome Score = FOAS). For outcome analysis, the nonparametric Mann–Whitney U test was performed and Spearman’s rank correlation coefficient calculated. RESULTS: In total, the functional outcomes of 103 patients suffering from fractures to the proximal fifth metatarsal bone were analyzed. L&B type I fractures (n = 13) had a FAOS score of 91 ± 23, L&B type II (n = 67) presented a score of 91 ± 15 and L&B type III (n = 23) a score of 93 ± 11. Surgically treated patients with an L&B type II fracture had no statistically significant better functional outcome in comparison to conservative management (p = 0.89). Operatively treated L&B type III fractures tended to have a better functional score (p = 0.16). The follow-up time was 58 (min: 15; max: 164) months. CONCLUSIONS: Overall, the functional outcome following fractures to the proximal fifth metatarsal bone is satisfactory. Conservatively treated L&B type II fractures showed an equivalent functional outcome compared to surgical management. Patients with an L&B type III fracture mainly were treated surgically, but difference in FAOS score did not reach level of significance. |
format | Online Article Text |
id | pubmed-8686254 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-86862542021-12-20 Functional outcome of 103 fractures of the proximal fifth metatarsal bone Pflüger, Patrick Zyskowski, Michael Müller, Michael Kirchhoff, Chlodwig Biberthaler, Peter Crönlein, Moritz Eur J Med Res Research BACKGROUND: Metatarsal fractures are common skeletal injuries of the lower extremity in adults. The majority involves the proximal fifth metatarsal bone. In the current literature, there still exists controversy regarding treatment recommendations for the different fracture entities. METHODS: All patients suffering from single fractures to the proximal fifth metatarsal bone between 2003 and 2015 were enrolled in this retrospective analysis. Only patients with a minimum follow-up of 12 months were included. The fractures were classified according to Lawrence and Botte (L&B). Data were collected via patient registry, radiographs and a standardized questionnaire (Foot and Ankle Outcome Score = FOAS). For outcome analysis, the nonparametric Mann–Whitney U test was performed and Spearman’s rank correlation coefficient calculated. RESULTS: In total, the functional outcomes of 103 patients suffering from fractures to the proximal fifth metatarsal bone were analyzed. L&B type I fractures (n = 13) had a FAOS score of 91 ± 23, L&B type II (n = 67) presented a score of 91 ± 15 and L&B type III (n = 23) a score of 93 ± 11. Surgically treated patients with an L&B type II fracture had no statistically significant better functional outcome in comparison to conservative management (p = 0.89). Operatively treated L&B type III fractures tended to have a better functional score (p = 0.16). The follow-up time was 58 (min: 15; max: 164) months. CONCLUSIONS: Overall, the functional outcome following fractures to the proximal fifth metatarsal bone is satisfactory. Conservatively treated L&B type II fractures showed an equivalent functional outcome compared to surgical management. Patients with an L&B type III fracture mainly were treated surgically, but difference in FAOS score did not reach level of significance. BioMed Central 2021-12-20 /pmc/articles/PMC8686254/ /pubmed/34930495 http://dx.doi.org/10.1186/s40001-021-00623-6 Text en © The Author(s) 2021 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/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Pflüger, Patrick Zyskowski, Michael Müller, Michael Kirchhoff, Chlodwig Biberthaler, Peter Crönlein, Moritz Functional outcome of 103 fractures of the proximal fifth metatarsal bone |
title | Functional outcome of 103 fractures of the proximal fifth metatarsal bone |
title_full | Functional outcome of 103 fractures of the proximal fifth metatarsal bone |
title_fullStr | Functional outcome of 103 fractures of the proximal fifth metatarsal bone |
title_full_unstemmed | Functional outcome of 103 fractures of the proximal fifth metatarsal bone |
title_short | Functional outcome of 103 fractures of the proximal fifth metatarsal bone |
title_sort | functional outcome of 103 fractures of the proximal fifth metatarsal bone |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8686254/ https://www.ncbi.nlm.nih.gov/pubmed/34930495 http://dx.doi.org/10.1186/s40001-021-00623-6 |
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