{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T04:39:58Z","timestamp":1791866398857,"version":"4.3.4"},"reference-count":21,"publisher":"MDPI AG","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec id=\"st1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Fifth metatarsal base fractures are the most commonly seen fractures of the foot. Ankle sprains occur with inversion and plantarflexion mechanisms, similar to most fifth metatarsal base fractures. We sought to investigate the possible ankle injuries that accompany fifth metatarsal base fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A hospital's digital database was searched for the\n                      <jats:italic>International Classification of Diseases, Tenth Revision<\/jats:italic>\n                      codes for metatarsal bone fractures (codes S92.30 and S92.35) between January 2015 and January 2018. Thirty-nine patients with fifth metatarsal base fracture who underwent ankle magnetic resonance imaging (MRI) within 14 days of injury were included in the study. The MRI findings were evaluated, and comparisons were performed according to fracture zone, sex, and age.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The most common MRI finding was talocrural joint effusion, which was observed in 28 patients (71.8%). Bone marrow edema was observed in 16 patients (41.0%). Chondral injury at the medial dome of talus was observed in three patients (7.7%). Grade 1 ligament sprain was observed in six patients (15.4%): two in the lateral ligament and four in the deltoid ligament.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st4\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although most fifth metatarsal base fractures and ankle sprains occur as a result of a common mechanism, physical examination findings and patients' complaints are very important. Routine MRI should be unnecessary for most patients. If a patient with a fifth metatarsal base fracture has complaints about the ankle joint, one should be aware of bone marrow edema, which was observed in 41.0% of the study population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.7547\/19-032","type":"journal-article","created":{"date-parts":[[2020,9,11]],"date-time":"2020-09-11T13:01:15Z","timestamp":1599829275000},"source":"Crossref","is-referenced-by-count":2,"title":["Ankle Joint Injuries Accompanying Fifth Metatarsal Base Fractures"],"prefix":"10.3390","volume":"111","author":[{"given":"Ali","family":"Turgut","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melik\u015fah","family":"Uzakgider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ozan","family":"Altun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erc\u00fcment","family":"Egeli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serkan","family":"Erku\u015f","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6nder","family":"Kalenderer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"i8750-7315-111-4-Article_11-b01","series-title":"The Foot","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1054\/foot.2001.0672","article-title":"Non-united fifth metatarsal metaphyseal fractures","volume":"11","author":"Metcalfe","year":"2001","unstructured":"Metcalfe\n              SA:\n            \n          \n          Non-united fifth metatarsal metaphyseal fractures.\n\t\t\t\t\tThe Foot11: \n\t\t\t\t\t99,\n\t\t\t\t\t2001.\n\t\t\t\t10.1054\/foot.2001.0672"},{"key":"i8750-7315-111-4-Article_11-b02","series-title":"Arch Trauma Res","first-page":"e33298","article-title":"Proximal fifth metatarsal fractures: anatomy, classification, treatment and complications","volume":"5","author":"Cheung","year":"2016","unstructured":"Cheung\n              CN\n            \n            \n              Lui\n              TH:\n            \n          \n          Proximal fifth metatarsal fractures: anatomy, classification, treatment and complications.\n\t\t\t\t\tArch Trauma Res5: \n\t\t\t\t\te33298,\n\t\t\t\t\t2016.\n\t\t\t\t28144601http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000390875200003&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-111-4-Article_11-b03","series-title":"Foot Ankle","doi-asserted-by":"publisher","first-page":"358","DOI":"10.1177\/107110079301400610","article-title":"Jones' fractures and related fractures of the proximal fifth metatarsal","volume":"14","author":"Lawrence","year":"1993","unstructured":"Lawrence\n              SJ\n            \n            \n              Botte\n              MJ:\n            \n          \n          Jones' fractures and related fractures of the proximal fifth metatarsal.\n\t\t\t\t\tFoot Ankle14: \n\t\t\t\t\t358,\n\t\t\t\t\t1993.\n\t\t\t\t10.1177\/1071100793014006108406253"},{"key":"i8750-7315-111-4-Article_11-b04","series-title":"Ann Surg","first-page":"697","article-title":"Fracture of the base of the fifth metatarsal bone by indirect violence","volume":"35","author":"Jones","year":"1902","unstructured":"Jones\n              RI:\n            \n          \n          Fracture of the base of the fifth metatarsal bone by indirect violence.\n\t\t\t\t\tAnn Surg35: \n\t\t\t\t\t697,\n\t\t\t\t\t1902.\n\t\t\t\t17861128"},{"key":"i8750-7315-111-4-Article_11-b05","series-title":"J Am Acad Orthop Surg","doi-asserted-by":"publisher","first-page":"110","DOI":"10.5435\/00124635-199503000-00006","article-title":"Fractures of the proximal fifth metatarsal: selecting the best treatment option","volume":"3","author":"Dameron","year":"1995","unstructured":"Dameron\n              TB\n              Jr:\n            \n          \n          Fractures of the proximal fifth metatarsal: selecting the best treatment option.\n\t\t\t\t\tJ Am Acad Orthop Surg3: \n\t\t\t\t\t110,\n\t\t\t\t\t1995.\n\t\t\t\t10.5435\/00124635-199503000-0000610790659"},{"key":"i8750-7315-111-4-Article_11-b06","series-title":"Radiology","doi-asserted-by":"publisher","first-page":"857","DOI":"10.1148\/radiol.2263020284","article-title":"Fractures of proximal portion of fifth metatarsal bone: anatomic and imaging evidence of a pathogenesis of avulsion of the plantar aponeurosis and the short peroneal muscle tendon","volume":"226","author":"Theodorou","year":"2003","unstructured":"Theodorou\n              DJ\n            \n            \n              Theodorou\n              SJ\n            \n            \n              Kakitsubata\n              Y\n            \n            :\n\t\t\t\t\t\n          Fractures of proximal portion of fifth metatarsal bone: anatomic and imaging evidence of a pathogenesis of avulsion of the plantar aponeurosis and the short peroneal muscle tendon.\n\t\t\t\t\tRadiology226: \n\t\t\t\t\t857,\n\t\t\t\t\t2003.\n\t\t\t\t1261602210.1148\/radiol.2263020284"},{"key":"i8750-7315-111-4-Article_11-b07","series-title":"J Foot Ankle Surg","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1053\/j.jfas.2014.08.019","article-title":"The fifth metatarsal base: anatomic evaluation regarding fracture mechanism and treatment algorithms","volume":"54","author":"DeVries","year":"2015","unstructured":"DeVries\n              JG\n            \n            \n              Taefi\n              E\n            \n            \n              Bussewitz\n              BW\n            \n            :\n\t\t\t\t\t\n          The fifth metatarsal base: anatomic evaluation regarding fracture mechanism and treatment algorithms.\n\t\t\t\t\tJ Foot Ankle Surg54: \n\t\t\t\t\t94,\n\t\t\t\t\t2015.\n\t\t\t\thttp:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000346421600019&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f32544185410.1053\/j.jfas.2014.08.019"},{"key":"i8750-7315-111-4-Article_11-b08","series-title":"Proc Inst Mech Eng H","doi-asserted-by":"publisher","first-page":"458","DOI":"10.1177\/0954411918762955","article-title":"Influence of ankle joint plantarflexion and dorsiflexion on lateral ankle sprain: a computational study","volume":"232","author":"Purevsuren","year":"2018","unstructured":"Purevsuren\n              T\n            \n            \n              Kim\n              K\n            \n            \n              Batbaatar\n              M\n            \n            :\n\t\t\t\t\t\n          Influence of ankle joint plantarflexion and dorsiflexion on lateral ankle sprain: a computational study.\n\t\t\t\t\tProc Inst Mech Eng H232: \n\t\t\t\t\t458,\n\t\t\t\t\t2018.\n\t\t\t\t10.1177\/095441191876295529521168"},{"key":"i8750-7315-111-4-Article_11-b09","series-title":"Foot Ankle Spec","doi-asserted-by":"publisher","first-page":"298","DOI":"10.1177\/1938640014539813","article-title":"Lateral ankle sprain and chronic ankle instability: a critical review","volume":"7","author":"Kobayashi","year":"2014","unstructured":"Kobayashi\n              T\n            \n            \n              Gamada\n              K:\n            \n          \n          Lateral ankle sprain and chronic ankle instability: a critical review.\n\t\t\t\t\tFoot Ankle Spec7: \n\t\t\t\t\t298,\n\t\t\t\t\t2014.\n\t\t\t\t10.1177\/193864001453981324962695"},{"key":"i8750-7315-111-4-Article_11-b10","series-title":"Bone Joint J","first-page":"1487","article-title":"Investigation of factors related to the occurrence of osteochondral lesions of the talus by 3D bone morphology of the ankle","volume":"100","author":"Teramoto","year":"2018","unstructured":"Teramoto\n              A\n            \n            \n              Shoji\n              H\n            \n            \n              Kura\n              H\n            \n            :\n\t\t\t\t\t\n          Investigation of factors related to the occurrence of osteochondral lesions of the talus by 3D bone morphology of the ankle.\n\t\t\t\t\tBone Joint J100: \n\t\t\t\t\t1487,\n\t\t\t\t\t2018.\n\t\t\t\thttp:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000459151500014&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f330418063"},{"key":"i8750-7315-111-4-Article_11-b11","series-title":"Orthop J Sports Med","first-page":"2325967113517078","article-title":"The anatomic pattern of injuries in acute inversion ankle sprains: a magnetic resonance imaging study","volume":"1","author":"Khor","year":"2013","unstructured":"Khor\n              YP\n            \n            \n              Ken\n              JT:\n            \n          \n          The anatomic pattern of injuries in acute inversion ankle sprains: a magnetic resonance imaging study.\n\t\t\t\t\tOrthop J Sports Med1: \n\t\t\t\t\t2325967113517078,\n\t\t\t\t\t2013.\n\t\t\t\t26535261"},{"key":"i8750-7315-111-4-Article_11-b12","series-title":"Foot Ankle Int","doi-asserted-by":"publisher","first-page":"661","DOI":"10.1177\/107110079801901003","article-title":"Occult osseous injuries after ankle sprains: incidence, location, pattern, and age","volume":"19","author":"Labovitz","year":"1998","unstructured":"Labovitz\n              JM\n            \n            \n              Schweitzer\n              ME:\n            \n          \n          Occult osseous injuries after ankle sprains: incidence, location, pattern, and age.\n\t\t\t\t\tFoot Ankle Int19: \n\t\t\t\t\t661,\n\t\t\t\t\t1998.\n\t\t\t\t10.1177\/1071100798019010039801079"},{"key":"i8750-7315-111-4-Article_11-b13","series-title":"J Orthop Surg Res","doi-asserted-by":"publisher","first-page":"122","DOI":"10.1186\/s13018-018-0811-4","article-title":"Imaging diagnosis for chronic lateral ankle ligament injury: a systemic review with meta-analysis","volume":"13","author":"Cao","year":"2018","unstructured":"Cao\n              S\n            \n            \n              Wang\n              C\n            \n            \n              Ma\n              X\n            \n            :\n\t\t\t\t\t\n          Imaging diagnosis for chronic lateral ankle ligament injury: a systemic review with meta-analysis.\n\t\t\t\t\tJ Orthop Surg Res13: \n\t\t\t\t\t122,\n\t\t\t\t\t2018.\n\t\t\t\t10.1186\/s13018-018-0811-429788978http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000433120200003&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-111-4-Article_11-b14","series-title":"Magn Res Imaging Clin N Am","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.mric.2016.08.001","article-title":"Technical considerations: best practices for MR imaging of the foot and ankle","volume":"25","author":"Sofka","year":"2017","unstructured":"Sofka\n              CM:\n            \n          \n          Technical considerations: best practices for MR imaging of the foot and ankle.\n\t\t\t\t\tMagn Res Imaging Clin N Am25: \n\t\t\t\t\t1,\n\t\t\t\t\t2017.\n\t\t\t\t10.1016\/j.mric.2016.08.001"},{"key":"i8750-7315-111-4-Article_11-b15","series-title":"Eur J Emerg Med","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1097\/00063110-199909000-00009","article-title":"Ankle effusions following acute ankle injury","volume":"6","author":"Makwana","year":"1999","unstructured":"Makwana\n              NK\n            \n            \n              Evans\n              PA\n            \n            \n              Finlay\n              DB\n            \n            :\n\t\t\t\t\t\n          Ankle effusions following acute ankle injury.\n\t\t\t\t\tEur J Emerg Med6: \n\t\t\t\t\t223,\n\t\t\t\t\t1999.\n\t\t\t\t1062238710.1097\/00063110-199909000-00009"},{"key":"i8750-7315-111-4-Article_11-b16","series-title":"Clin Radiol","doi-asserted-by":"publisher","first-page":"632","DOI":"10.1016\/S0009-9260(96)80057-2","article-title":"Improving the detection of radiographically occult ankle fractures: positive predictive value of an ankle joint effusion","volume":"51","author":"Clark","year":"1996","unstructured":"Clark\n              TWI\n            \n            \n              Janzen\n              DL\n            \n            \n              Logan\n              PM\n            \n            :\n\t\t\t\t\t\n          Improving the detection of radiographically occult ankle fractures: positive predictive value of an ankle joint effusion.\n\t\t\t\t\tClin Radiol51: \n\t\t\t\t\t632,\n\t\t\t\t\t1996.\n\t\t\t\t881069210.1016\/S0009-9260(96)80057-2"},{"key":"i8750-7315-111-4-Article_11-b17","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"513","DOI":"10.2106\/00004623-196143040-00006","article-title":"Combined fracture of the base of the fifth metatarsal and the lateral malleolus: a report of five cases","volume":"43","author":"Pearson","year":"1961","unstructured":"Pearson\n              JR:\n            \n          \n          Combined fracture of the base of the fifth metatarsal and the lateral malleolus: a report of five cases.\n\t\t\t\t\tJ Bone Joint Surg Am43: \n\t\t\t\t\t513,\n\t\t\t\t\t1961.\n\t\t\t\t10.2106\/00004623-196143040-00006"},{"key":"i8750-7315-111-4-Article_11-b18","series-title":"Radiology","doi-asserted-by":"publisher","first-page":"857","DOI":"10.1148\/radiol.2263020284","article-title":"Fractures of proximal portion of fifth metatarsal bone: anatomic and imaging evidence of a pathogenesis of avulsion of the plantar aponeurosis and the short peroneal muscle tendon","volume":"226","author":"Theodorou","year":"2003","unstructured":"Theodorou\n              DJ\n            \n            \n              Theodorou\n              SJ\n            \n            \n              Kakitsubata\n              Y\n            \n            :\n\t\t\t\t\t\n          Fractures of proximal portion of fifth metatarsal bone: anatomic and imaging evidence of a pathogenesis of avulsion of the plantar aponeurosis and the short peroneal muscle tendon.\n\t\t\t\t\tRadiology226: \n\t\t\t\t\t857,\n\t\t\t\t\t2003.\n\t\t\t\t1261602210.1148\/radiol.2263020284"},{"key":"i8750-7315-111-4-Article_11-b19","series-title":"Orthop Clin North Am","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1016\/S0030-5898(20)31997-0","article-title":"Fractures of the proximal fifth metatarsal","volume":"26","author":"Quill","year":"1995","unstructured":"Quill\n              GE\n              Jr:\n            \n          \n          Fractures of the proximal fifth metatarsal.\n\t\t\t\t\tOrthop Clin North Am26: \n\t\t\t\t\t353,\n\t\t\t\t\t1995.\n\t\t\t\t772419710.1016\/S0030-5898(20)31997-0"},{"key":"i8750-7315-111-4-Article_11-b20","series-title":"J Foot Ankle Surg","doi-asserted-by":"publisher","first-page":"982","DOI":"10.1053\/j.jfas.2018.03.018","article-title":"Comparative outcomes of cast and removable support in fracture fifth metatarsal bone: systematic review and meta-analysis","volume":"57","author":"Pituckanotai","year":"2018","unstructured":"Pituckanotai\n              K\n            \n            \n              Arirachakaran\n              A\n            \n            \n              Piyapittayanun\n              P\n            \n            :\n\t\t\t\t\t\n          Comparative outcomes of cast and removable support in fracture fifth metatarsal bone: systematic review and meta-analysis.\n\t\t\t\t\tJ Foot Ankle Surg57: \n\t\t\t\t\t982,\n\t\t\t\t\t2018.\n\t\t\t\t10.1053\/j.jfas.2018.03.01830149851http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000442674300025&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-111-4-Article_11-b21","series-title":"BMC Musculoskeletal Disord","doi-asserted-by":"publisher","first-page":"534","DOI":"10.1186\/s12891-017-1893-6","article-title":"Functional treatment for fractures to the base of the 5th metatarsal-influence of fracture location and fracture characteristics","volume":"18","author":"Baumbach","year":"2017","unstructured":"Baumbach\n              SF\n            \n            \n              Prall\n              WC\n            \n            \n              Kramer\n              M\n            \n            :\n\t\t\t\t\t\n          Functional treatment for fractures to the base of the 5th metatarsal-influence of fracture location and fracture characteristics.\n\t\t\t\t\tBMC Musculoskeletal Disord18: \n\t\t\t\t\t534,\n\t\t\t\t\t2017.\n\t\t\t\thttp:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000418042900003&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f310.1186\/s12891-017-1893-6"}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/111\/4\/i8750-7315-111-4-article_11.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/japma\/article-pdf\/doi\/10.7547\/19-032\/2897078\/i8750-7315-111-4-article_11.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/111\/4\/i8750-7315-111-4-article_11.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/111\/4\/i8750-7315-111-4-article_11.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:18:21Z","timestamp":1783505901000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/111\/4\/19032"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":21,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.7547\/19-032","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}