title: Return to Play and Performance After Jones Fracture in National Basketball Association Athletes.
abstract: BACKGROUND
  Basketball players are at risk for foot injuries, including Jones fractures. It is unknown how this injury affects the future play and performance of athletes.
  
  
  OBJECTIVE
  National Basketball Association (NBA) players who sustain Jones fractures of the base of the fifth metatarsal have high rates of return to play and do not experience a decrease in performance on return to competition when compared with preinjury and with control-matched peers.
  
  
  METHODS
  Retrospective cohort study.
  
  
  METHODS
  Level 5.
  
  
  METHODS
  Data on 26 elite basketball players with Jones fractures over 19 NBA seasons (1994-1995 to 2012-2013) were obtained from injury reports, press releases, player profiles, and online public databases. Variables included age, body mass index (BMI), player position, experience, and surgical treatment. Individual season statistics pre- and postinjury were collected. Twenty-six controls were identified by matched player position, age, and performance statistics.
  
  
  RESULTS
  The mean age at the time of injury was 24.8 years, mean BMI was 24.7 kg/m(2), and the mean experience prior to injury was 4.1 NBA seasons. Return to previous level of competition was achieved by 85% of athletes. There was no change in player efficiency rating (PER) when pre- and postinjury performance was compared. When compared with controls, no decline in PER measured performance was identified.
  
  
  CONCLUSIONS
  The majority of NBA players sustaining a Jones fracture return to their preinjury level of competition. These elite athletes demonstrate no decrease in performance on their return to play.
  
  
  CONCLUSIONS
  Jones fractures are well-studied injuries in terms of etiology, diagnosis, and management. However, the effect of these injuries on future performance of athletes is unknown. Using the findings of our study, orthopaedic surgeons may be better prepared to counsel and educate elite athletes who sustain a Jones fracture.
authors.affiliation: Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York john.begly@nyumc.org.
authors.forename: John P
authors.initials: JP
authors.lastname: Begly
authors.affiliation: Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York.
authors.forename: Michael
authors.initials: M
authors.lastname: Guss
authors.affiliation: Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York.
authors.forename: Austin J
authors.initials: AJ
authors.lastname: Ramme
authors.affiliation: Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York.
authors.forename: Raj
authors.initials: R
authors.lastname: Karia
authors.affiliation: Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York.
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Meislin
mesh_terms: D000328:Adult; D054874:Athletic Performance; D001490:Basketball / Q000293:injuries*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000293:injuries* / Q000601:surgery; D012189:Retrospective Studies; D000068958:Return to Sport; D016896:Treatment Outcome; D055815:Young Adult
keywords: Jones fracture; National Basketball Association; foot injury; metatarsal; performance