{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T12:32:05Z","timestamp":1776774725406,"version":"3.51.2"},"reference-count":30,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"6","license":[{"start":{"date-parts":[[2016,6,1]],"date-time":"2016-06-01T00:00:00Z","timestamp":1464739200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p> The purpose of this study was to compare symptomatic treatment of a fracture of the base of the fifth metatarsal with immobilisation in a cast. Our null hypothesis was that immobilisation gave better patient reported outcome measures (PROMs). The alternative hypothesis was that symptomatic treatment was not inferior. <\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p> A total of 60 patients were randomised to receive four weeks of treatment, 36 in a double elasticated bandage (symptomatic treatment group) and 24 in a below-knee walking cast (immobilisation group). The primary outcome measure used was the validated Visual Analogue Scale Foot and Ankle (VAS-FA) Score. Data were analysed by a clinician, blinded to the form of treatment, at presentation and at four weeks, three months and six months after injury. Loss to follow-up was 43% at six months. Multiple imputations missing data analysis was performed. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> At four weeks and six months, symptomatic treatment proved non-inferior in terms of primary outcome. Take home message: Immobilisation is no better than symptomatic treatment in the management of a fracture of the base of the fifth metatarsal when judged by PROMs. Significant loss to follow-up with this injury could be expected in longer term. Cite this article: Bone Joint J 2016;98-B:806\u201311. <\/jats:p><\/jats:sec>","DOI":"10.1302\/0301-620x.98b6.36329","type":"journal-article","created":{"date-parts":[[2016,5,27]],"date-time":"2016-05-27T14:13:35Z","timestamp":1464358415000},"page":"806-811","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":29,"title":["Symptomatic treatment or cast immobilisation for avulsion fractures of the base of the fifth metatarsal"],"prefix":"10.1302","volume":"98-B","author":[{"given":"P. I.","family":"Akimau","sequence":"first","affiliation":[{"name":"Northern General Hospital, Herries\rRoad, Sheffield S5 7AU, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. L.","family":"Cawthron","sequence":"additional","affiliation":[{"name":"Sheffield Teaching Hospital NHS Foundation\rTrust, Herries Road, Sheffield, S5\r7AU, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. M.","family":"Dakin","sequence":"additional","affiliation":[{"name":"Northern General Hospital, Herries\rRoad, Sheffield S5 7AU, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Chadwick","sequence":"additional","affiliation":[{"name":"Northern General Hospital, Herries\rRoad, Sheffield S5 7AU, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. M.","family":"Blundell","sequence":"additional","affiliation":[{"name":"Northern General Hospital, Herries\rRoad, Sheffield S5 7AU, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. B.","family":"Davies","sequence":"additional","affiliation":[{"name":"Northern General Hospital, Herries\rRoad, Sheffield S5 7AU, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.1177\/107110070602700303"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1177\/107110079301400610"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2009.05.035"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197557060-00010"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.1016\/j.foot.2008.02.002"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1177\/107110079701800504"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2004.12.001"},{"key":"r8","first-page":"238","volume":"315","author":"Clapper MF","year":"1995","journal-title":"Clin Orthop Relat Res"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0581"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.7547\/87507315-83-4-215"},{"key":"r11","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/S0030-5898(20)31997-0","volume":"26","author":"Quill GE Jr","year":"1995","journal-title":"Orthop Clin North Am"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.1016\/S1361-3111(98)80076-9"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.1177\/1071100712460197"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2010.07.190"},{"key":"r15","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181a8b355"},{"key":"r16","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(00)80032-0"},{"key":"r17","first-page":"1","volume":"3","author":"G\u00f6sele A","year":"1997","journal-title":"Swiss Surg"},{"key":"r18","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2006.04.001"},{"key":"r19","doi-asserted-by":"publisher","DOI":"10.1016\/0168-8510(90)90421-9"},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502600907"},{"key":"r21","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2012.03.010"},{"key":"r22","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-006-0116-9"},{"key":"r23","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-196807000-00015"},{"key":"r24","doi-asserted-by":"publisher","DOI":"10.1177\/036354659202000113"},{"key":"r25","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466020-00007"},{"key":"r26","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(01)00349-9"},{"key":"r27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.08.003"},{"key":"r28","doi-asserted-by":"publisher","DOI":"10.1007\/s12593-012-0060-4"},{"key":"r29","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000346"},{"key":"r30","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2393"}],"container-title":["The Bone &amp; Joint Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.98B6.36329","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.98B6.36329","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.98B6.36329","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T03:32:41Z","timestamp":1634614361000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.98B6.36329"}},"subtitle":["a prospective, randomised, single-blinded non-inferiority controlled trial"],"short-title":[],"issued":{"date-parts":[[2016,6]]},"references-count":30,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2016,6]]}},"alternative-id":["10.1302\/0301-620X.98B6.36329"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.98b6.36329","relation":{},"ISSN":["2049-4394","2049-4408"],"issn-type":[{"value":"2049-4394","type":"print"},{"value":"2049-4408","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,6]]},"assertion":[{"value":"2015-05-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-01-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-06-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}