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Since the first publication on proximal metatarsal V fractures by Jones in 1902,1 there has been a lot of controversy about the classification and ideal treatment of the proximal metatarsal V fracture. The controversy includes mainly the different anatomical,2,–,4 radiological5 and aetiological aspects.6,–,9 A proper understanding of these different aspects of the proximal metatarsal V fracture is essential, because a right interpretation of fracture type and the appropriate treatment strategy may greatly diminish the time to return to competitive sports or activities of daily living (ADL).
The purpose of this study was to evaluate the treatment strategies of the different proximal metatarsal V fractures (avulsion, Jones and stress fractures, figure 1) and their outcomes in athletes and non-athletes.
This evaluation is based on a critical overview of the current literature combined with the opinion of a group of international experts.
The hypothesis of this study is that operative treatment is the most effective treatment strategy for all proximal metatarsal V fractures, besides the non-displaced avulsion fracture.
Materials and methods
A literature search was performed covering …
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