An overview of the risk factors for producing fifth metatarsal fracture in sports activities: A systematic review.

IF 2.5 3区医学 Q1 ORTHOPEDICS Journal of Foot and Ankle Research Pub Date : 2024-12-01 DOI:10.1002/jfa2.70012

Luis Angel Ortiz-Lango, Israel Miguel-Andrés, Daniel López-López, José de Jesús Mayagoitiza-Vázquez, Ricardo Becerro-de-Bengoa-Vallejo, Marta Losa-Iglesias, Juan Gómez-Salgado, Miguel Ángel Saavedra-García

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Abstract

Introduction: The fifth metatarsal fracture is a foot injury that occurs in sports activities. This fracture has been associated with risk factors based on intrinsic variables such as type of feet (flatfoot or cavus foot), foot pathologies, and bone density among others. Extrinsic variables associated with fifth metatarsal fractures include sports maneuvers, the type of sports practice, and contact surface. Although this injury has been investigated over the years, there is no consensus on the most relevant risk factors that cause this injury. An increase in the number of people with fractures makes it a relevant topic of research. The objective of this review was to identify an overview of the risk factors for producing the fifth metatarsal fracture based on intrinsic and extrinsic variables in sports activities. Furthermore, this review aimed to clarify what is known and what is needed on the risk factors that can influence the appearance of the fracture.

Methods: A search in electronic databases, such as Scopus (n = 87), PubMed (n = 187), and Web of Science (n = 173) was conducted. The initial search yielded 447 titles and abstracts, from which 31 papers were selected for detailed analysis after screening all citations against the eligibility criteria.

Results: After screening the manuscripts, it was found that the fifth metatarsal fracture can be produced by multiple factors. However, most of the studies focus on one or two specific risk factors. It was found that soccer (38.7%) is the sports activity that presents a higher risk of getting a fifth metatarsal fracture compared to other sports activities. The second risk factor was the performance of critical maneuvers (22.5%) and the third one was the biomechanics of the foot (22.5%).

Conclusion: It is paramount to identify the most critical risk factors linked to the fifth metatarsal fracture to be able to implement effective treatments and prevention strategies.

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概述在体育活动中造成第五跖骨骨折的风险因素：系统综述。

导言第五跖骨骨折是一种发生在体育活动中的足部损伤。这种骨折与内在变量的风险因素有关，如足部类型（扁平足或空洞足）、足部病变和骨密度等。与第五跖骨骨折相关的外在变量包括运动动作、运动练习类型和接触面。尽管多年来一直在对这种损伤进行研究，但对于导致这种损伤的最相关风险因素还没有达成共识。骨折患者人数的增加使其成为一个相关的研究课题。本综述旨在根据体育活动中的内在和外在变量，对导致第五跖骨骨折的风险因素进行概述。此外，本综述还旨在澄清在可能影响骨折出现的风险因素方面的已知和所需：方法：在 Scopus (n = 87)、PubMed (n = 187) 和 Web of Science (n = 173) 等电子数据库中进行了检索。初步检索共获得 447 篇标题和摘要，根据资格标准对所有引文进行筛选后，从中选出 31 篇论文进行详细分析：筛选后发现，第五跖骨骨折可由多种因素造成。然而，大多数研究都集中在一两个特定的风险因素上。研究发现，与其他体育活动相比，足球（38.7%）是导致第五跖骨骨折风险较高的体育活动。第二个风险因素是做关键动作（22.5%），第三个风险因素是足部的生物力学（22.5%）：结论：确定与第五跖骨骨折相关的最关键风险因素至关重要，这样才能实施有效的治疗和预防策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Foot and Ankle Research ORTHOPEDICS-

CiteScore

4.50

自引率

10.30%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Foot and Ankle Research, the official journal of the Australian Podiatry Association and The College of Podiatry (UK), is an open access journal that encompasses all aspects of policy, organisation, delivery and clinical practice related to the assessment, diagnosis, prevention and management of foot and ankle disorders. Journal of Foot and Ankle Research covers a wide range of clinical subject areas, including diabetology, paediatrics, sports medicine, gerontology and geriatrics, foot surgery, physical therapy, dermatology, wound management, radiology, biomechanics and bioengineering, orthotics and prosthetics, as well the broad areas of epidemiology, policy, organisation and delivery of services related to foot and ankle care. The journal encourages submissions from all health professionals who manage lower limb conditions, including podiatrists, nurses, physical therapists and physiotherapists, orthopaedists, manual therapists, medical specialists and general medical practitioners, as well as health service researchers concerned with foot and ankle care. The Australian Podiatry Association and the College of Podiatry (UK) have reserve funds to cover the article-processing charge for manuscripts submitted by its members. Society members can email the appropriate contact at Australian Podiatry Association or The College of Podiatry to obtain the corresponding code to enter on submission.