Return to sport following toe phalanx fractures:A systematic review

作     者：Greg A J Robertson Amit Sinha Thomas Hodkinson Togay Koç 

作者机构：Department of Orthopaedic SurgeryQueen Alexandra HospitalPortsmouth PO63LYUnited Kingdom Department of Trauma and Orthopaedic SurgeryWales DeaneryCardiff CF157QQUnited Kingdom Department of Orthopaedic SurgeryHull University Teaching Hospitals NHS TrustHull HU32JZUnited Kingdom Department of Trauma and Orthopaedic SurgerySouthampton General HospitalSouthampton SO166YDUnited Kingdom 

出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)

年 卷 期：2023年第14卷第6期

页      面：471-484页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Acute Stress Fracture Toe Phalanx Return Sport Rate Time 

摘      要：BACKGROUND Evidence-based guidance on return to sport following toe phalanx fractures is *** To systemically review all studies recording return to sport following toe phalanx fractures(both acute fractures and stress fractures),and to collate information on return rates to sport(RRS)and mean return times(RTS)to the *** A systematic search of PubMed,MEDLINE,EMBASE,CINAHL,Cochrane Library,Physiotherapy Evidence Database,and Google Scholar was performed in December 2022 using the keywords‘Toe’,‘Phalanx’,‘Fracture’,‘injury’,‘athletes’,‘sports’,‘non-operative’,‘conservative’,‘operative’,‘return to sport’.All studies which recorded RRS and RTS following toe phalanx fractures were *** Thirteen studies were included:one retrospective cohort study and twelve case *** studies reported on acute *** studies reported on stress *** the acute fractures(n=156),63 were treated with primary conservative management(PCM),6 with primary surgical management(PSM)(all displaced intra-articular(physeal)fractures of the great toe base of the proximal phalanx),1 with secondary surgical management(SSM)and 87 did not specify treatment *** the stress fractures(n=26),23 were treated with PCM,3 with PSM,and 6 with *** acute fractures,RRS with PCM ranged from 0 to 100%,and RTS with PCM ranged from 1.2 to 24 *** acute fractures,RRS with PSM were all 100%,and RTS with PSM ranged from 12 to 24 *** case of an undisplaced intra-articular(physeal)fracture treated conservatively required conversion to SSM on refracture with a return to *** stress fractures,RRS with PCM ranged from 0%to 100%,and RTS with PCM ranged from 5 to 10 *** stress fractures,RRS with PSM were all 100%,and RTS with surgical management ranged from 10 to 16 *** cases of conservatively-managed stress fractures required conversion to *** of these cases were associated with a prolonged delay to diagnosis(1 year,2 years)and four cases with an un