Functional treatment is non-inferior to below the knee cast in adults with acute closed proximal fifth metatarsal fractures

被引：1

作者：

Janssen, Emmy ^{[1
]}

Rijpsma, Douwe ^{[1
]}

机构：

[1] Rijnstate Hosp, Arnhem, Netherlands

来源：

EMERGENCY MEDICINE JOURNAL | 2019年 / 36卷 / 05期

关键词：

OUTCOMES;

D O I：

10.1136/emermed-2019-208644.1

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A short cut review was carried out to establish whether functional treatment is better than conservative treatment with a below knee cast at decreasing time to functional recovery and fracture union in adults with an acute closed proximal fifth metatarsal fracture. Four papers presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. It is concluded that in proximal (zone 1 and 2) fractures of the fifth metatarsal functional treatment with immediate mobilisation is at least non-inferior to immobilisation in a cast.

引用

页码：319 / 320

页数：2

共 8 条

[1] Adequate union rates for the treatment of acute proximal fifth metatarsal fractures
Rikken, Q. G. H.
Dahmen, J.
Hagemeijer, N. C.
Sierevelt, I. N.
Kerkhoffs, G. M. M. J.
DiGiovanni, C. W.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2021, 29 (04) : 1284 - 1293
[2] Adequate union rates for the treatment of acute proximal fifth metatarsal fractures
Q. G. H. Rikken
J. Dahmen
N. C. Hagemeijer
I. N. Sierevelt
G. M. M. J. Kerkhoffs
C. W. DiGiovanni
Knee Surgery, Sports Traumatology, Arthroscopy, 2021, 29 : 1284 - 1293
[3] Aircast Walking Boot and Below-Knee Walking Cast for Avulsion Fractures of the Base of the Fifth Metatarsal: A Comparative Cohort Study
Shahid, Mohammad Kamran
Punwar, Shahid
Boulind, Caroline
Bannister, Gordon
FOOT & ANKLE INTERNATIONAL, 2013, 34 (01) : 75 - 79
[4] Acute fractures to the proximal fifth metatarsal bone: Development of classification and treatment recommendations based on the current evidence
Polzer, Hans
Polzer, Sigmund
Mutschler, Wolf
Prall, Wolf C.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2012, 43 (10): : 1626 - 1632
[5] Functional treatment of acute metatarsal fractures: a prospective randomised comparison of management in a cast versus elasticated support bandage
Zenios, M
Kim, WY
Sampath, J
Muddu, BN
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2005, 36 (07): : 832 - 835
[6] Symptomatic treatment or cast immobilisation for avulsion fractures of the base of the fifth metatarsal A PROSPECTIVE, RANDOMISED, SINGLE-BLINDED NON-INFERIORITY CONTROLLED TRIAL
Akimau, P. I.
Cawthron, K. L.
Dakin, W. M.
Chadwick, C.
Blundell, C. M.
Davies, M. B.
BONE & JOINT JOURNAL, 2016, 98B (06): : 806 - 811
[7] Reverse shoulder arthroplasty versus hemiarthroplasty versus non-surgical treatment for older adults with acute 3-or 4-part fractures of the proximal humerus: study protocol for a randomised controlled trial (PROFHER-2: PROximal Fracture of Humerus Evaluation by Randomisation - Trial Number 2)
Rangan, Amar
Gwilym, Stephen
Keding, Ada
Corbacho, Belen
Kottam, Lucksy
Arundel, Catherine
Coleman, Elizabeth
DiMascio, Livio
Hewitt, Catherine
Jones, Valerie
Kassam, Jamila
McDaid, Catriona
Mitchell, Natasha
Mott, Andrew
O'Carroll, Grace
Tharmanathan, Puvan
Torgerson, David
TRIALS, 2023, 24 (01)
[8] Reverse shoulder arthroplasty versus hemiarthroplasty versus non-surgical treatment for older adults with acute 3- or 4-part fractures of the proximal humerus: study protocol for a randomised controlled trial (PROFHER-2: PROximal Fracture of Humerus Evaluation by Randomisation – Trial Number 2)
Amar Rangan
Stephen Gwilym
Ada Keding
Belen Corbacho
Lucksy Kottam
Catherine Arundel
Elizabeth Coleman
Livio DiMascio
Catherine Hewitt
Valerie Jones
Jamila Kassam
Catriona McDaid
Natasha Mitchell
Andrew Mott
Grace O’Carroll
Puvan Tharmanathan
David Torgerson
Trials, 24

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