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BET 1: Functional treatment is non-inferior to below the knee cast in adults with acute closed proximal fifth metatarsal fractures
  1. Emmy Janssen,
  2. Douwe Rijpsma
  1. Rijnstate Hospital, Arnhem, The Netherlands
  1. Correspondence to Dr Emmy Janssen; production.emj{at}


A short cut review was carried out to establish whether functional treatment is better than conservative treatment with a below knee cast at decreasing time to functional recovery and fracture union in adults with an acute closed proximal fifth metatarsal fracture. Four papers presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. It is concluded that in proximal (zone 1 and 2) fractures of the fifth metatarsal functional treatment with immediate mobilisation is at least non-inferior to immobilisation in a cast.

  • emergency care systems

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  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.