Publication Name	World Journal of Orthopedics
Manuscript ID	28131
Country	Canada

Received	2016-06-27 11:56
Peer-Review Started	2016-06-29 09:23
To Make the First Decision	2016-08-04 16:14
Return for Revision	2016-08-05 10:02
Revised	2016-09-13 12:22
Second Decision	2016-09-20 15:50
Accepted by Journal Editor-in-Chief	2016-09-22 22:03
Accepted by Executive Editor-in-Chief	2016-10-09 10:34
Articles in Press	2016-10-09 10:34
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript	2016-11-25 13:49
Publish the Manuscript Online	2016-12-07 15:36

ISSN	2218-5836 (online)
Open Access	This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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Category	Orthopedics
Manuscript Type	Minireviews
Article Title	Fifth metatarsal fractures and current treatment
Manuscript Source	Unsolicited Manuscript
All Author List	Julia Bowes and Richard Buckley
Funding Agency and Grant Number
Corresponding Author	Julia Bowes, MD, Department of Surgery, Division of Orthopedics, Walter Mackenzie Centre, University of Alberta, 8440 112 Street NW, Edmonton, AB T6G 2B7, Canada. jbowes@ualberta.ca
Key Words	Metatarsal fractures; Fifth metatarsal; Jones fracture; Operative care; Athlete
Core Tip	Nondisplaced fifth metatarsal fractures can be treated nonoperatively depending on fracture location and patient factors. When nonoperative management is utilized improved early functional scores are associated with less rigid immobilization and a shorter period of nonweightbearing. Neck and shaft fractures with greater than ten degrees plantar angulation or three millimeters of displacement in any plane where closed reduction is insufficient require operative management. Operative intervention is recommended for base of the fifth metatarsal avulsion fractures (zone one) with more than three millimeters of displacement. Acute and delayed union zone two fractures may be managed nonoperatively but operative management with an intramedullary screw should be considered in athletes. Zone three (diaphyseal stress fractures) fractures that are Torg type Ⅰ and ty?pe Ⅱ should be managed with intramedullary screw fixation in the athlete. In the non-athlete these fractures may be managed nonoperatively however prolonged immobilization is often required and a nonunion may still result. Symptomatic nonunions of zone two and zone three fractures should be managed operatively.
Publish Date	2016-12-07 15:36
Citation	Bowes J, Buckley R. Fifth metatarsal fractures and current treatment. World J Orthop 2016; 7(12): 793-800
URL	http://www.wjgnet.com/2218-5836/full/v7/i12/793.htm
DOI	http://dx.doi.org/10.5312/wjo.v7.i12.793

Full Article (PDF)	WJO-7-793.pdf
Full Article (Word)	WJO-7-793.doc
Manuscript File	28131-Review.docx
Answering Reviewers	28131-Answering reviewers.pdf
Audio Core Tip	28131-Audio core tip.mp3
Conflict-of-Interest Disclosure Form	28131-Conflict-of-interest statement.pdf
Copyright License Agreement	28131-Copyright assignment.pdf
Peer-review Report	28131-Peer-review(s).pdf
Journal Editor-in-Chief Review Report	28131-Journal editor-in-chief review report.pdf
Scientific Misconduct Check	28131-Scientific misconduct check.pdf
Scientific Editor Work List	28131-Scientific editor work list.pdf