Systematic Review and Meta – Analysis of Outcomes of Conservative Treatment of Fracture of Base of Fifth Metatarsal of the Foot versus Operative Treatment

Abstract

etatarsal fractures are frequent injuries in both adults and children and represent a relatively common source of chronic foot pain. There are several distinct patterns of injuries to the metatarsal which can be considered according to the anatomical site and mechanism of injury (Stefan Rammelt et al., 2004). Fractures of the base of the fifth metatarsal bone are commonly seen both in recreational and competitive athletes. This type of fracture is generally Referred to as a “Jones Fracture,” named afer Sir Robert Jones, who first described this fracture pattern in 1902 (Hans Polzer et al., 2012). Lawrence and Botte in year 1993 divided fractures in base of the fifth metatarsal bone into tuberosity avulsion, real Jones fracture and fracture of the proximal diaphysis of the fifth metatarsal bone. Stress fracture of the diaphysis of the metatarsal bone is defined as a stress fracture in the zone of the proximal part of the fifth metatarsal bone distally from the zone of Jones fracture (Dane K. Wukich et al., 2009). Fractures of the base of the fifth metatarsal are common injuries secondary to ankle and foot trauma that can be easily overlooked if attention is not paid to that area when interpreting the radiographs or if the appropriate films have not been obtained (Chad L. Seidenstricker et al., 2017).