{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:41:46Z","timestamp":1787755306183,"version":"build-2784847793"},"reference-count":183,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u00bb Fractures of the proximal fifth metatarsal (PFMT) are one of the most common foot injuries, accounting for 61% to 78% of all foot fractures, but full consensus on their classification, diagnosis, and treatment has not yet been reached.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb The most commonly accepted classification is that of Lawrence and Botte, who divided the location of PFMT fractures into 3 zones with respect to their healing potential.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Avulsion fractures of the tuberosity of the base (zone 1) generally heal well, and nonoperative treatment is commonly recommended.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Internal fixation may be considered for displaced fractures that extend into the fourth-fifth intermetatarsal joint (zone 2) as well as for nondisplaced fractures in athletes or high-demand patients, with the aims of reducing the healing time and expediting return to sport or work.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Stress fractures of the proximal diaphysis (zone 3) are preferably treated operatively, particularly in the presence of signs of delayed union. With nonoperative treatment, supportive measures such as ultrasonography or external\/extracorporeal shockwave therapy have been demonstrated to have limited potential for the enhancement of fracture-healing.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.rvw.21.00010","type":"journal-article","created":{"date-parts":[[2021,10,21]],"date-time":"2021-10-21T15:00:09Z","timestamp":1634828409000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":22,"title":["Fractures of the Base of the Fifth Metatarsal Bone"],"prefix":"10.2106","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7066-5759","authenticated-orcid":false,"given":"Kamila","family":"Bu\u0161kov\u00e1","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, First Faculty of Medicine Charles University and Military University Hospital Prague, Prague, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2228-1443","authenticated-orcid":false,"given":"Jan","family":"Barton\u00ed\u010dek","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, First Faculty of Medicine Charles University and Military University Hospital Prague, Prague, Czech Republic"},{"name":"Department of Anatomy, First Faculty of Medicine, Charles University Prague, Prague, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1141-6493","authenticated-orcid":false,"given":"Stefan","family":"Rammelt","sequence":"additional","affiliation":[{"name":"University Center of Orthopaedics and Traumatology, University Hospital Carl Gustav Carus Dresden, Dresden, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,10]]},"reference":[{"issue":"16","key":"r1-20240731","first-page":"190","article-title":"Jones\u2019s fracture: fracture of base of fifth metatarsal","volume":"16","author":"Stewart","year":"1960","journal-title":"Clin Orthop"},{"issue":"6","key":"r2-20240731","doi-asserted-by":"crossref","first-page":"788","DOI":"10.2106\/00004623-197557060-00010","article-title":"Fractures and anatomical variations of the proximal portion of the fifth metatarsal","volume":"57","author":"Dameron","year":"1975","journal-title":"J Bone Joint Surg Am"},{"issue":"6","key":"r3-20240731","doi-asserted-by":"crossref","first-page":"776","DOI":"10.2106\/00004623-197860060-00008","article-title":"The Jones fracture revisited","volume":"60","author":"Kavanaugh","year":"1978","journal-title":"J Bone Joint Surg Am"},{"issue":"2","key":"r4-20240731","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1177\/036354657900700205","article-title":"Proximal diaphyseal fractures of the fifth metatarsal\u2014treatment of the fractures and their complications in athletes","volume":"7","author":"Zelko","year":"1979","journal-title":"Am J Sports Med"},{"issue":"5","key":"r5-20240731","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1177\/036354658301100513","article-title":"Stress fracture of the fifth metatarsal","volume":"11","author":"DeLee","year":"1983","journal-title":"Am J Sports Med"},{"issue":"2","key":"r6-20240731","doi-asserted-by":"crossref","first-page":"209","DOI":"10.2106\/00004623-198466020-00007","article-title":"Fractures of the base of the fifth metatarsal distal to the tuberosity. 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