RT Journal Article T1 An overview of the risk factors for producing fifth metatarsal fracture in sports activities: A systematic review A1 Ortiz Lango, Luis Ánge A1 Miguel Andrés, Israel A1 López López, Daniel A1 Mayagoitiza Vázquez, José de Jesús A1 Becerro de Bengoa Vallejo, Ricardo A1 Losa Iglesias, Marta Elena A1 Gómez Salgado, Juan A1 Saavedra García, Miguel Ángel AB Introduction: The fifth metatarsal fracture is a foot injury that occurs in sports activities. This fracture has been associated with risk factors based on intrinsic variablessuch as type of feet (flatfoot or cavus foot), foot pathologies, and bone density amongothers. Extrinsic variables associated with fifth metatarsal fractures include sportsmaneuvers, the type of sports practice, and contact surface. Although this injury hasbeen investigated over the years, there is no consensus on the most relevant riskfactors that cause this injury. An increase in the number of people with fractures makesit a relevant topic of research. The objective of this review was to identify an overviewof the risk factors for producing the fifth metatarsal fracture based on intrinsic andextrinsic variables in sports activities. Furthermore, this review aimed to clarify what isknown and what is needed on the risk factors that can influence the appearance of thefracture.Methods: A search in electronic databases, such as Scopus (n = 87), PubMed (n = 187),and Web of Science (n = 173) was conducted. The initial search yielded 447 titles andabstracts, from which 31 papers were selected for detailed analysis after screening allcitations against the eligibility criteria.Results: After screening the manuscripts, it was found that the fifth metatarsal fracturecan be produced by multiple factors. However, most of the studies focus on one or twospecific risk factors. It was found that soccer (38.7%) is the sports activity that presentsa higher risk of getting a fifth metatarsal fracture compared to other sports activities.The second risk factor was the performance of critical maneuvers (22.5%) and the thirdone was the biomechanics of the foot (22.5%).Conclusion: It is paramount to identify the most critical risk factors linked to the fifthmetatarsal fracture to be able to implement effective treatments and preventionstrategies PB Wiley SN 1757-1146 (electrónico) YR 2024 FD 2024-10 LK https://hdl.handle.net/10272/24350 UL https://hdl.handle.net/10272/24350 LA eng NO Ortiz‐Lango, L. A., Miguel‐Andrés, I., López‐López, D., Mayagoitiza‐Vázquez, J. de J., Becerro‐de‐Bengoa‐Vallejo, R., Losa‐Iglesias, M., Gómez‐Salgado, J., & Saavedra‐García, M. Á. (2024). An overview of the risk factors for producing fifth metatarsal fracture in sports activities: A systematic review. In Journal of Foot and Ankle Research (Vol. 17, Issue 4). Wiley. https://doi.org/10.1002/jfa2.70012 DS Repositorio Institucional de la Universidad de Huelva RD 1 jun 2026