Suchergebnisse

Background: Jones fracture, or proximal fifth metatarsal fracture, is a common injury in National Football League (NFL)-caliber athletes. Combine draft performance can greatly impact the long-term success of these athletes, and substantial emphasis has been placed on early return to play (RTP) and the minimization of post-operative complications after Jones fracture in these athletes. To date, no study has specifically described the treatment and outcomes of this injury specifically in NFL-caliber players, considering factors relevant to this unique population. Thus, the purpose of this review is to delve into Jones fracture in NFL-caliber athletes, evaluating the diagnostic, treatment, and RTP considerations. Methods: We searched Medline (PubMed), Embase (Elsevier), Scopus (Elsevier), and SPORTDiscus (EBSCOhost) for the concept of Jones fractures in the NFL. Using the PRISMA guidelines, a team of three reviewers conducted abstract screenings, full-text screenings, and the extraction of studies describing Jones fractures specifically in the NFL. Results: Of the 1911 studies identified, 6 primary retrospective studies met the inclusion and exclusion criteria. The heterogeneity of the outcome reporting precluded a meta-analysis; thus, a qualitative review of manuscripts describing Jones fracture was carried out. Classification, diagnosis, and treatment considerations, RTP statistics and outcomes, and complications were discussed. Amongst the primary studies, there were 285 Jones fractures, all athletes were able to RTP, and the average time to RTP ranged from 6 weeks to 27 weeks. For complications, with operative treatment, the refracture rate ranged from 4 to 12%, and incomplete healing ranged from 7 to 50%. RTP was 15 weeks for refractures. There were no patient-reported outcomes. Conclusions: The vast majority of Zone 2/3 Jones fractures are treated with IM screw fixation with or without adjunctive orthobiologics, such as bone marrow aspirate concentrate, in NFL-caliber athletes. The six major series investigating outcomes after the operative treatment of Jones fractures in NFL players reveal very positive findings overall with regard to RTP, reoperation, and career continuation.

Frontmatter -- Contents -- Acknowledgments -- Introduction: Misinformation among Mass Audiences as a Focus for Inquiry -- PART I Dimensions of Audience Awareness of Misinformation -- ONE Believing Things That Are Not True: A Cognitive Science Perspective on Misinformation -- TWO Awareness of Misinformation in Health-Related Advertising: A Narrative Review of the Literature -- THREE The Importance of Measuring Knowledge in the Age of Misinformation and Challenges in the Tobacco Domain -- FOUR Measuring Perceptions of Shares of Groups -- FIVE Dimensions of Visual Misinformation in the Emerging Media Landscape -- PART II Theoretical Effects and Consequences of Misinformation -- SIX The Effects of False Information in News Stories -- SEVEN Can Satire and Irony Constitute Misinformation? -- EIGHT Media and Political Misperceptions -- NINE Misinformation and Science: Emergence, Diffusion, and Persistence -- TEN Doing the Wrong Things for the Right Reasons: How Environmental Misinformation Affects Environmental Behavior -- PART III Solutions and Remedies for Misinformation -- ELEVEN Misinformation and Its Correction: Cognitive Mechanisms and Recommendations for Mass Communication -- TWELVE How to Counteract Consumer Product Misinformation -- THIRTEEN A History of Fact Checking in U.S. Politics and Election Contexts -- FOURTEEN Comparing Approaches to Journalistic Fact Checking -- FIFTEEN The Role of Middle-Level Gatekeepers in the Propagation and Longevity of Misinformation -- SIXTEEN Encouraging Information Search to Counteract Misinformation: Providing "Balanced" Information about Vaccines -- Conclusion: An Agenda for Misinformation Research -- Contributors -- Index