$metatarsal fracture$

Strategy needs to be tailored to the individual.Surgery allows for earlier return to sports for the active adolescents.Children > 13 years more prone to re-fracture.Acute Jones fractures may be treated with conservative approach.Ones related to stress injuries / repetitive stress (have cortical sclerosis and have poor blood supply) are better treated by internal fixation.Debate over best treatment strategy for Jones fractures.Prone to re-fracture after cast removal.Problematic region as there is tenuous vascular supply.Fracture at the proximal diaphysial region.Treated with short leg walking cast or non-weight bearing cast for 4-6 wks.May extend to metatarsal-cuboid joint or to the joint with 4th metatarsal.Tubercle fracture that extends to intra-articular area.Displaced avulsions may take longer to heal, but do so with low rate of complications.Fracture at the base of the 5th metatarsal tubercle.There are 5 types of 5th metatarsal fractures:.More likely to fracture 5th metatarsal!ĥth Metatarsal Fractures: Location Matters.Greater likelihood of being related to sport activities.More likely (> 50% of cases) to be injured by “Fall” from Standing.More likely to fracture 1st metatarsal!.More likely (>50% of cases) to be injured by Fall from Height.Metatarsal fractures are frequently missed on initial inspection of radiographs.When 2nd, 3rd, or 4th metatarsals are fractured, they are frequently associated with another metatarsal fracture, while 1st and 5th metatarsal fractures can be isolated.Twisting mechanism (like during sports).The 5th metatarsal is the most commonly fractured metatarsal in children.With increasingly active children (and Extreme Sports), foot fractures are becoming more common.Certainly, the foot is a frequently injured area (ex, Plantar Puncture Wounds), but do foot fractures warrant special consideration also? Let’s take a minute to digest a morsel on Metatarsal Fractures in Children: We have already discussed how Ankle Injuries need to be thought of a little differently in children. With that being said, their immature skeleton can often bring additional considerations into play when evaluating kids for possible fractures (ex, Toddler’s Fracture, Nasal Fractures, Pelvic Avulsion Fractures). In some cases, a Jones Fracture may not heal at all, a condition called “nonunion.” When this happens surgery is often required to treat the fracture similar to Avulsion Fracture surgery.Children are incredibly resilient and their tissues are very pliable and plastic.

$metatarsal fracture$

Because of its location on the bone, a Jones Fracture may take longer to heal.If an Avulsion Fracture results in a large displaced fracture fragment open reduction and internal fixation with plates and screws may be necessary.Surgical treatment options for a break in the fifth metatarsal maybe recommended by your foot and ankle specialist if you have one of the following types of fractures: What are my treatment options for my foot pain? Non-Surgical Options for a Broken Fifth Metatarsal: If you think you may have broken a bone you need to see a foot specialist and have an x-ray Pain, swelling and bruising along the outer foot edge after an injury.

$metatarsal fracture$

When to see a foot pain specialist about a Broken Fifth Metatarsal: Since the blood supply to this area is poor, Jones Fractures are more prone to difficulty in healing. This is sometimes called a “Jones Fracture”.

Another type of fifth metatarsal fracture is a horizontal or transverse fracture through the junction of the base and shaft of the bone.

Since the fragment is pulled away from the rest of the bone, this type of injury is called an “avulsion fracture”. The tendon that attaches to the base of the fifth metatarsal may stretch and pull a fragment of bone away from the base.

A break in the fifth metatarsal usually occurs from an injury where the foot and ankle are twisted downward and inward.

Most commonly the fifth metatarsal fractures through the base of the bone. The fifth metatarsal is the long bone on the outside of the foot.

$metatarsal fracture$