Treatment 1st Metatarsal Fracture

For the 1st metatarsal a stress X-ray may help determine whether treatment should be operative or nonoperative. If the bones are in a good position some Metatarsal Foot Fractures can be treated with a plaster cast or walking boot.

Metatarsal Fracture Orthopaedic Trauma Association Ota

10 The first metatarsal head bears twice the weight of other metatarsal heads.

Treatment 1st metatarsal fracture. Treatment of a metatarsal fracture depends heavily on which bone is fractured. Avulsion fractures of the proximal. For pain you can use ibuprofen Advil Motrin and others or naproxen Aleve Naprosyn and others.

A shaft fracture with acceptable alignment should. The first metatarsal head bears twice the weight of other metatarsal heads. Proximal fifth metatarsal fractures that are distal to the tuberosity have a poorer prognosis.

Treat minimally displaced or nondisplaced. Stress fractures of the first to fourth metatarsal shafts typically heal well with rest alone and usually do not require immobilization. The first metatarsal is the least commonly fractured metatarsal.

Ice your foot for about 20 minutes every hour while awake for the first 48 hours then 2 to 3 times a day. Stress fractures of the first to fourth metatarsal shafts typically heal well with rest alone and usually do not require immobilization. Do not use these medicines for the first 24.

Avulsion fractures of the first metatarsal MT1 base at the peroneus longus PL tendon attachment are rare and may be undiagnosed during an emergency visit. Initially doctors can see the crack in the bone and after a few days they can also see irregularities in the. Other activities which can strengthen these muscle include walking on sand or other uneven surfaces.

Treatment may be nonoperative or operative depending on the specific metatarsal involved number of metatarsals involved and fracture displacement. Diagnosis is made with plain radiographs of the foot. Treat minimally displaced or nondisplaced fractures with immobilization without weight bearing.

Metatarsal fractures are among the most common injuries of the foot that may occur due to trauma or repetitive microstress. Your doctor is likely to suggest an X-ray of your foot if they suspect a metatarsal fracture. With proximal metatarsal fractures injury to the proximal ligaments Lisfranc injury should be excluded.

Avulsion fractures of the proximal fifth metatarsal tuberosity can usually be managed with a soft dressing. If the injury is not treated properly chronic pain or persistent impairment for inversion and plantar-flexion of the first ray may occur. Injuries to the metatarsal bones are very common and can happen in a number of ways but most commonly occur when a heavy object falls on them or when they are twisted during a fall.

Strengthening exercises should focus on building the strength of the intrinsic muscles of the foot which attach to the metatarsal bones. In some cases the bones may be displaced out of line and you may need an operation to fix the fracture break If you need this treatment the Doctor will explain this to you. Most can be seen easily on X-ray.

Each metatarsal is broken down into segments. The first to describe a fracture of the proximal fifth metatarsal was Sir Robert Jones7-9He described a fracture in the proximal three quarter segment of the shaft distal to the styloid7-9The Jones fracture as described by Sir Robert Jones was later defined by Stewart1011 as a transverse fracture at the junction of the diaphysis and metaphysis without extension into. The head neck shaft and base.

Metatarsal Fracture Causes Symptoms Treatments Surgery Recovery