{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T10:17:17Z","timestamp":1782814637760,"version":"3.54.5"},"reference-count":34,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,2,26]],"date-time":"2020-02-26T00:00:00Z","timestamp":1582675200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Fractures of the fifth metatarsal base (5th MT) are common foot injuries, but their treatment remains a subject of debate. The aim was to assess the midterm outcome of functionally treated epi-metaphyseal fractures (Lawrence and Botte types I and II) of the 5th MT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study was a longitudinal retrospective database study with prospective follow-up. Included were all patients with an acute, isolated fracture to the 5th MT base (types I and II). All patients were treated functionally: weightbearing as tolerated without immobilization. Fracture types and fracture characteristics (displacement &lt;2 mm\/&gt;2 mm, articular involvement, number of fragments) were assessed retrospectively. Patient-reported outcome measures (PROMs) including the visual analog scale for foot and ankle (VAS FA) and the quality-of-life score (QoL) SF-12 were collected prospectively at 2- and 5-year follow-up. Out of 95 patients, 43 patients (45%) were included with a median follow-up of 5.7 (1.5) years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>For both the VAS FA and SF-12, excellent scores were observed. For 30 patients (77%), longitudinal 2- and 5-year follow-up was available. No significant longitudinal changes could be observed for the VAS FA and SF-12. For both time points, neither fracture type nor characteristics significantly influenced any outcome parameter assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Functional treatment by full weightbearing and free range of motion led to excellent 5-year results for both type I and II fractures. Neither fracture location nor characteristics had a significant influence on the 5-year PROMs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level III, comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100720907391","type":"journal-article","created":{"date-parts":[[2020,2,26]],"date-time":"2020-02-26T05:43:02Z","timestamp":1582695782000},"page":"666-673","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Results of Functional Treatment of Epi-Metaphyseal Fractures of the Base of the Fifth Metatarsal"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6287-6206","authenticated-orcid":false,"given":"Sebastian F.","family":"Baumbach","sequence":"first","affiliation":[{"name":"Department of General, Trauma and Reconstructive Surgery, University Hospital, LMU Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcel","family":"Urresti-Gundlach","sequence":"additional","affiliation":[{"name":"Department of General, Trauma and Reconstructive Surgery, University Hospital, LMU Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"B\u00f6cker","sequence":"additional","affiliation":[{"name":"Department of General, Trauma and Reconstructive Surgery, University Hospital, LMU Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Turner","family":"Vosseller","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans","family":"Polzer","sequence":"additional","affiliation":[{"name":"Department of General, Trauma and Reconstructive Surgery, University Hospital, LMU Munich, Munich, Germany"},{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,2,26]]},"reference":[{"key":"bibr1-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.98B6.36329"},{"key":"bibr2-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-018-0507-6"},{"key":"bibr3-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-017-1893-6"},{"key":"bibr4-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-008-1509-6"},{"key":"bibr5-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202300512"},{"key":"bibr6-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2014.06.010"},{"key":"bibr7-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-010-1164-6"},{"key":"bibr8-1071100720907391","doi-asserted-by":"publisher","DOI":"10.5812\/atr.33298"},{"key":"bibr9-1071100720907391","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0581"},{"key":"bibr10-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2015.05.041"},{"key":"bibr11-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2005.08.014"},{"issue":"2","key":"bibr12-1071100720907391","first-page":"81","volume":"3","author":"Gosele A","year":"1997","journal-title":"Swiss Surg"},{"key":"bibr13-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1002\/cpt.423"},{"key":"bibr14-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1177\/1938640015569768"},{"key":"bibr15-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502600907"},{"key":"bibr16-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1177\/107110079301400610"},{"key":"bibr17-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-013-1810-5"},{"key":"bibr18-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504272262"},{"key":"bibr19-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-017-0863-x"},{"key":"bibr20-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715625290"},{"key":"bibr21-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2018.03.018"},{"key":"bibr22-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2012.03.010"},{"key":"bibr23-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2006.04.001"},{"key":"bibr24-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1177\/1759720X17753337"},{"key":"bibr25-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2013.06.002"},{"key":"bibr26-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1177\/1071100712460197"},{"key":"bibr27-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2010.12.005"},{"key":"bibr28-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2010.05.005"},{"issue":"2","key":"bibr29-1071100720907391","first-page":"104","volume":"40","author":"Tahririan MA","year":"2015","journal-title":"Iran J Med Sci"},{"issue":"120","key":"bibr30-1071100720907391","first-page":"1792","volume":"3","author":"Van Aaken J","year":"2007","journal-title":"Rev Med Suisse"},{"key":"bibr31-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-006-0116-9"},{"key":"bibr32-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1177\/107110079701800504"},{"key":"bibr33-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1177\/2309499017747128"},{"key":"bibr34-1071100720907391","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2009.05.035"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1071100720907391","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1071100720907391","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1071100720907391","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:23:59Z","timestamp":1777411439000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1071100720907391"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,26]]},"references-count":34,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1177\/1071100720907391"],"URL":"https:\/\/doi.org\/10.1177\/1071100720907391","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,26]]}}}