{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T05:42:22Z","timestamp":1782625342668,"version":"3.54.5"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T00:00:00Z","timestamp":1708992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The purpose of this systematic review was to evaluate outcomes following both operative and nonoperative management of spiral oblique fractures of the fifth\u00a0metatarsal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>During November 2023, the PubMed, Embase and Cochrane library databases were systematically reviewed to identify clinical studies examining outcomes following operative and nonoperative management of dancer's fractures. Data regarding subjective clinical outcomes, radiological outcomes, complications and failure rates were extracted and analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ten studies were included in this review. In total, 125 patients underwent operative treatment for dancer's fractures and 365 patients underwent nonoperative treatment for dancer's fractures. The weighted mean follow\u2010up in the operative cohort was 15.3\u2009\u00b1\u200932.7\u2009months and the weighted mean follow\u2010up in the nonoperative cohort was 30.6\u2009\u00b1\u200924.3\u2009months. The overall union rate in the operative cohort was 99.2% and the overall union rate in the nonoperative cohort was 98.6%. The weighted mean time to return to sport was 15.4\u2009\u00b1\u20096.7 and 22.4\u2009\u00b1\u20094.4\u2009weeks in the operative cohort and nonoperative cohort, respectively. The complication rate in the operative cohort and nonoperative cohort was 12.0% and 15.1%, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This current systematic review demonstrated comparable radiographic outcomes together with low failure rate and low complication rate following both operative and nonoperative management of dancer's fracture at short\u2010term follow\u2010up. However, faster return to sport rates was observed in the operative cohort, suggesting that surgical management of displaced spiral oblique fractures of the fifth\u00a0metatarsal should be the mainstay treatment option. However, the under\u2010reporting of data, marked heterogeneity between studies and paucity of comparative studies limits the generation of any robust conclusions; thus, further high\u2010quality comparative studies are warranted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level IV.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ksa.12098","type":"journal-article","created":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T03:39:36Z","timestamp":1709005176000},"page":"562-572","source":"Crossref","is-referenced-by-count":2,"title":["Surgical management of spiral oblique fractures of the fifth metatarsal leads to faster return to play in athletes: A systematic review"],"prefix":"10.1002","volume":"32","author":[{"given":"Thelma R.","family":"Jimenez Mosquea","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Foot and Ankle Division NYU Langone Health New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4212-5018","authenticated-orcid":false,"given":"James J.","family":"Butler","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Foot and Ankle Division NYU Langone Health New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan P.","family":"Samsonov","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Foot and Ankle Division NYU Langone Health New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo A.","family":"Ubillus","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Foot and Ankle Division NYU Langone Health New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John G.","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Foot and Ankle Division NYU Langone Health New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymond J.","family":"Walls","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Foot and Ankle Division NYU Langone Health New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,27]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713500656"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0021-9290(03)00117-9"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1210\/clinem\/dgac092"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2014.06.010"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.12885"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/19386400211056810"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2023.103594"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2007.02.005"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.7547\/20-195"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.31080\/ASOR.2021.04.0352"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221134131"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502600907"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.12678\/1089-313X.061522f"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2700"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.foot.2019.101654"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659602400223"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2007.12.005"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2020.09.001"},{"key":"e_1_2_11_20_1","volume-title":"5th metatarsal fracture","author":"Smidt KP","year":"2023"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2020.08.013"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i4919"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2017.01.009"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2017.11.005"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.8709.edit"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.12098","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T10:33:19Z","timestamp":1760869999000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1002\/ksa.12098"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,27]]},"references-count":24,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1002\/ksa.12098"],"URL":"https:\/\/doi.org\/10.1002\/ksa.12098","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,27]]}}}