Utility of follow-up radiographs in conservatively managed acute fifth metatarsal fractures

Nagar, Manoj; Forrest, Neil; MacEachern, Campbell F.

doi:10.1016/j.foot.2014.01.001

Cited by 13 publications

(7 citation statements)

References 16 publications

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“…A total of 476/546 studies were excluded after the full‐text review ( n = 34; Supplementary Digital File ). After final screening, we included 70 studies, 22‐91 but no data on primary outcomes were reported in three of these 26,67,91 …”

Section: Resultsmentioning

confidence: 99%

“…Most studies were based on case series ( n = 33) 22,31,33,34,36,38,41,43‐50,56,57,60‐64,66,68‐72,74,75,77,85,89,90 followed by systematic reviews with or without meta‐analysis ( n = 12), 23‐25,28,29,39,53,59,67,78,83,86,88,91 prospective cohorts ( n = 9), 30,32,35,37,42,51,54,79,87 RCTs ( n = 9) 27,55,65,73,80‐82,84 and retrospective cohorts ( n = 2; Supplemental Digital File ) 52,58 …”

Section: Resultsmentioning

confidence: 99%

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Low‐value injury care in the adult orthopaedic trauma population: A systematic review

Bérubé

Moore

Tardif

et al. 2021

Int J Clinical Practice

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Objectives Fifteen potentially low value practices in adult orthopaedic trauma care were previously identified in a scoping review. The aim of this study was to synthesise the evidence on these practices. Methods We searched four databases for systematic reviews, randomised controlled trials (RCTs), cohort studies and case series that assessed the effectiveness of selected practices. Methodological quality was evaluated using the Measurement Tool to Assess Systematic Reviews version 2 (AMSTAR‐2) for systematic reviews and the Critical Appraisal Checklist for Case Series. We evaluated risk of bias with the Cochrane revised tool for RCTs and the risk of bias in non‐randomised studies of interventions tool for observational studies. We summarised findings with measures of frequency and association for primary outcomes. Results Of the 30,670 records screened, 70 studies were retained. We identified high‐level evidence of lack of effectiveness or harm for routine initial imaging of ankle injury, orthosis for A0‐A3 thoracolumbar burst fracture in patients <60 years of age, cast or splint immobilisation for suspected scaphoid fracture negative on MRI or confirmed fifth metacarpal neck fracture, and routine follow‐up imaging for distal radius and ankles fractures. However, evidence was mostly based on studies of low methodological quality or high risk of bias. Conclusion In this review, we identified clinical practices in orthopaedic injury care which are not supported by current evidence and whose use may be questioned. In future research, we should measure their frequency, assess practice variations and evaluate root causes to identify practices that could be targeted for de‐implementation.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Low‐value injury care in the adult orthopaedic trauma population: A systematic review

Bérubé

Moore

Tardif

et al. 2021

Int J Clinical Practice

View full text Add to dashboard Cite

show abstract

“…Most studies were based on case series (n=33) 22,31,33,34,36,38,41,[43][44][45][46][47][48][49][50]56,57,[60][61][62][63][64]66,[68][69][70][71][72]74,75,7785,89,90 followed by systematic reviews with or without meta-analysis (n=12) [23][24][25]28,29,39,53,59,67,78,83,86,88,91 , prospective cohorts (n=9) 30,32,35,37,42,…”

Section: Study Characteristics According To Categories Of Low Value Practicesmentioning

confidence: 99%

“…78,83 , two RCTs 82,84 , three cohort studies (one prospective) 42,52,58 and 32 case series31,33,34,36,41,[43][44][45][46][47][48][49][50]56,57,[60][61][62][63][64]66,[68][69][70][71][72][74][75][76][77]85,89,90 evaluating routine post-treatment imaging and follow-up consultations.…”

mentioning

confidence: 99%

Low value Injury Care in the Adult Orthopaedic Trauma Population: A Systematic Review

Bérubé

Moore

Tardif

et al. 2021

Preprint

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Objectives. Fifteen potentially low value practices in adult orthopaedic trauma care were previously identified in a scoping review. The aim of this study was to synthesize the evidence on these practices. Methods. We searched four databases for systematic reviews, randomized controlled trials (RCTs), cohort studies and case series that assessed the effectiveness of selected practices. Methodological quality was evaluated using the Measurement Tool to Assess Systematic Reviews version 2 (AMSTAR-2) for systematic reviews and the Critical Appraisal Checklist for Case Series. We evaluated risk of bias with the Cochrane revised tool for RCTs and the risk of bias in non-randomized studies of interventions tool for observational studies. We summarized findings with measures of frequency and association for primary outcomes. Results. Of the 30,670 records screened, 70 studies were retained. We identified high-level evidence of lack of effectiveness or harm for routine initial imaging of ankle injury, orthosis for A0-A3 thoracolumbar burst fracture in patients < 60 years of age, cast or splint immobilization for suspected scaphoid fracture negative on MRI or confirmed fifth metacarpal neck fracture, and routine follow-up imaging for distal radius and ankles fractures. However, evidence was mostly based on studies of low methodological quality or high risk of bias. Conclusion. In this review, we identified clinical practices in orthopedic injury care which are not supported by current evidence and whose use may be questioned. In future research we should measure their frequency, assess practice variations and evaluate root causes to identify practices that could be targeted for de-implementation.

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“…There is considerable variation in management, especially if a Jones fracture is suspected. 1,3,4,[7][8][9][10][11][12] Since 1984, Torg et al's 13 recommendation of conservative treatment for Jones fractures, with a non-weight bearing cast for a period of 3 to 12 weeks, has been frequently followed. 5,10,12 In 2017, Brogan et al 14 concluded that all fifth metatarsal fractures can be safely managed with immediate full weight-bearing in an orthotic boot without adverse effects and that often no long-term review is needed.…”

Section: Introductionmentioning

confidence: 99%

Walking Gait Before and After Chiropractic Care Following Fifth Metatarsal Fractures: A Single Case Kinetic and Kinematic Study

Russell

Hoiriis

Hosek

2018

Journal of Chiropractic Medicine

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Utility of follow-up radiographs in conservatively managed acute fifth metatarsal fractures

Cited by 13 publications

References 16 publications

Low‐value injury care in the adult orthopaedic trauma population: A systematic review

Low‐value injury care in the adult orthopaedic trauma population: A systematic review

Low value Injury Care in the Adult Orthopaedic Trauma Population: A Systematic Review

Walking Gait Before and After Chiropractic Care Following Fifth Metatarsal Fractures: A Single Case Kinetic and Kinematic Study

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