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The majority involves the proximal fifth metatarsal bone. In the current literature, there still exists controversy regarding treatment recommendations for the different fracture entities.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>All patients suffering from single fractures to the proximal fifth metatarsal bone between 2003 and 2015 were enrolled in this retrospective analysis. Only patients with a minimum follow-up of 12\u00a0months were included. The fractures were classified according to Lawrence and Botte (L&amp;B). Data were collected via patient registry, radiographs and a standardized questionnaire (Foot and Ankle Outcome Score\u2009=\u2009FOAS). For outcome analysis, the nonparametric Mann\u2013Whitney <jats:italic>U<\/jats:italic> test was performed and Spearman\u2019s rank correlation coefficient calculated.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>In total, the functional outcomes of 103 patients suffering from fractures to the proximal fifth metatarsal bone were analyzed. L&amp;B type I fractures (<jats:italic>n<\/jats:italic>\u2009=\u200913) had a FAOS score of 91\u2009\u00b1\u200923, L&amp;B type II (<jats:italic>n<\/jats:italic>\u2009=\u200967) presented a score of 91\u2009\u00b1\u200915 and L&amp;B type III (<jats:italic>n<\/jats:italic>\u2009=\u200923) a score of 93\u2009\u00b1\u200911. Surgically treated patients with an L&amp;B type II fracture had no statistically significant better functional outcome in comparison to conservative management (<jats:italic>p<\/jats:italic>\u2009=\u20090.89). Operatively treated L&amp;B type III fractures tended to have a better functional score (<jats:italic>p<\/jats:italic>\u2009=\u20090.16). The follow-up time was 58 (min: 15; max: 164) months.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Overall, the functional outcome following fractures to the proximal fifth metatarsal bone is satisfactory. Conservatively treated L&amp;B type II fractures showed an equivalent functional outcome compared to surgical management. Patients with an L&amp;B type III fracture mainly were treated surgically, but difference in FAOS score did not reach level of significance.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40001-021-00623-6","type":"journal-article","created":{"date-parts":[[2021,12,20]],"date-time":"2021-12-20T12:02:48Z","timestamp":1640001768000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Functional outcome of 103 fractures of the proximal fifth metatarsal bone"],"prefix":"10.1186","volume":"26","author":[{"given":"Patrick","family":"Pfl\u00fcger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Zyskowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chlodwig","family":"Kirchhoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Biberthaler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moritz","family":"Cr\u00f6nlein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,12,20]]},"reference":[{"issue":"3","key":"623_CR1","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1177\/107110070602700303","volume":"27","author":"BA Petrisor","year":"2006","unstructured":"Petrisor BA, Ekrol I, Court-Brown C. 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