$metatarsal fracture$

$metatarsal fracture$

METATARSAL FRACTURE PROFESSIONAL

“Significant” angulation or open fractures may require surgery.

Treated with non-walking cast for 4-6 weeks.

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). Traumatic avascular necrosis of the metatarsal head.Children are incredibly resilient and their tissues are very pliable and plastic. If the fracture is intra-articular, this can result in degenerative joint disease.

$metatarsal fracture$

Referral is recommended for children with fractures involving the apophysis.Ĭomplications of Metatarsal Neck fracturesĪ complication of Metatarsal neck fracture is persistent pain. Referral to an orthopaedic foot and ankle surgeonĪlthough referral rarely is required for patients with fractures of the metatarsals referral is recommended for patients with open fractures, severely displaced fractures, fracture-dislocations, displaced intra-articular fractures, and fractures that are difficult to reduce.

METATARSAL FRACTURE PROFESSIONAL

Initial follow-up should occur within one to two weeks, then every two to four weeks for a total healing time of four to six weeks.Ĭall The Foot and Ankle Centrefor further advice on professional management and treatment options.Ī displaced fracture is a fracture where the two ends of the bone are no longer aligned. Initial management of non- displaced metatarsal neck fracture will involve immobilisation generally in a CAM walker Trauma (generally something heavy landing on the toe or kicking an immovable object)Ī non-displaced fracture is a fracture where the two ends of the bone are still well aligned. Metatarsal neck fractures often affect more than one metatarsal bone and are caused by dropping a weight on the instep, kicking or loading when on tiptoe Injuries of these metatarsals usually occur as fractures of the neck region, shaft fractures or stress fractures.

$metatarsal fracture$