Playing football on artificial turf as a risk factor for fifth metatarsal stress fracture: a retrospective cohort study

BMJ Open
Takayuki MiyamoriKazuo Kaneko

Abstract

The fifth metatarsal stress fracture is a common injury among football players. Although several risk factors have been proposed, the association between the playing surface and development of fifth metatarsal stress fractures (MT-5) has not been evaluated. We conducted an epidemiological study using a computer-based survey to investigate the association between the playing surface and development of MT-5. This study included 1854 football players, of which 41 experienced MT-5 within the past 24 months. Baseline demographic data and the percentage of time spent playing on artificial turf and clay fields were compared between the non-MT-5 and MT-5 player groups, and the risks for development of MT-5 associated with the playing surfaces were estimated by univariate and multivariate analyses. There were significant differences in body mass index, years of play, playing categories and playing time on artificial turf between non-MT-5 and MT-5 groups (p<0.05). Generalised estimating equations analyses adjusted for multiple confounders demonstrated that relative to the risk of playing <20% of the time on each surface, the OR (OR: 95% CI) for MT-5 for playing on artificial turf >80% of the time increased (3.44: 1.65 to 7.18), and for p...Continue Reading

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Citations

Oct 1, 2020·Orthopaedic Journal of Sports Medicine·Fumiya KanekoIkuo Kageyama
Nov 28, 2019·Case Reports in Orthopedics·Takashi HoshinoMasamitsu Tsuchiya
Apr 2, 2021·Current Sports Medicine Reports·Jacqueline L YurgilPeter Mitchell Martin

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