Albloushi M, Alshanqiti A, Qasem M, Abitbol A, Gregory T. Jones type fifth metatarsal fracture fixation in athletes: A review and current concept. World J Orthop 2021; 12(9): 640-650 [PMID: 34631448 DOI: 10.5312/wjo.v12.i9.640]
Corresponding Author of This Article
Mohammad Qasem, PhD, Physiotherapist, Al-Razi Hospital, Ministry of Health, State of Kuwait, Jamal Abdulnasser Street, Al Solaibeykhat Area 5, Kuwait City 00965, Kuwait. doctorqasem@hotmail.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Sep 18, 2021; 12(9): 640-650 Published online Sep 18, 2021. doi: 10.5312/wjo.v12.i9.640
Jones type fifth metatarsal fracture fixation in athletes: A review and current concept
Mohammad Albloushi, Amer Alshanqiti, Mohammad Qasem, Andreas Abitbol, Thomas Gregory
Mohammad Albloushi, Amer Alshanqiti, Andreas Abitbol, Thomas Gregory, Department of Orthopaedic Surgery, Avicenne Teaching Hospital, Assistance Publique-Hôpitaux de Paris, University Sorbonne-Paris-Nord, Sorbonne Paris Cité +33, France
Mohammad Qasem, Al-Razi Hospital, Ministry of Health, State of Kuwait, Kuwait City 00965, Kuwait
Author contributions: Albloushi M performed the majority of the writing; Alshanqiti A contributed to the writing; Qasem M assisted in the editing of the text; Abitbol A and Gregory T provided critical expertise and input into the material of the text.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mohammad Qasem, PhD, Physiotherapist, Al-Razi Hospital, Ministry of Health, State of Kuwait, Jamal Abdulnasser Street, Al Solaibeykhat Area 5, Kuwait City 00965, Kuwait. doctorqasem@hotmail.com
Received: February 9, 2021 Peer-review started: February 9, 2021 First decision: March 31, 2021 Revised: April 14, 2021 Accepted: July 30, 2021 Article in press: July 30, 2021 Published online: September 18, 2021
Abstract
Jones type fifth metatarsal fracture is a common occurrence among athletes at all levels. These fractures may occur due to several mechanisms, but inversions and twisting injuries are considered some of the leading causes in sports. However, while Jones fracture incidences are frequent in the sporting world, there is still a lack of consensus on how such fractures should be effectively managed. There are numerous treatment options for patients with fifth metatarsal Jones fractures. The role of nonoperative treatment remains controversial, with concerns about delayed union and nonunion. Surgical stabilization of metatarsal Jones fractures is therefore often recommended for athletes, as it is often associated with a low number of complications and a higher rate of union than nonoperative management. This review will focus on literature regarding the prevalence of Jones type fifth metatarsal fracture, alongside the efficacy of both conservative and surgical treatment within this population.
Core Tip: Jones type fifth metatarsal fractures are a common injury among athletes. However, there remains a lack of consensus on the effective management of such fractures, especially in a demanding population group where time is often of the essence. Treatment recommendations often depend on the location and understanding of the fracture in addition to the patient's underlying state of health and other factors that influence surgical risk and outcome. The role of nonoperative treatment is still controversial, but surgical stabilization of metatarsal Jones fractures is often recommended for athletes and other high-demand population groups.
