Treatment 5th Metatarsal Fracture

Immobilization casting or rigid shoe. X-rays will also be ordered in order to confirm a fracture and classify it accordingly.

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The majority are managed with a period of six weeks immobilisation in a boot non-weight bearing on crutches.

Treatment 5th metatarsal fracture. Healing can take up to several months. The most frequent fracture seen is the fifth metatarsal accounting for 68 of metatarsal fractures2. Treatment is either immobilization or surgery depending on location of fracture degree of displacement and athletic level of patient.

Fortunately 5 th metatarsal fractures can often be treated conservatively without the need for surgery. Avoid the offending activity. In a typical Jones fracture patients may be placed in a boot and instructed to remain in a non-weight bearing state for 6 weeks.

In addition clinicians should also have a thorough understanding of common complications of fracture and associated disposal methods. Sometimes rest is the only treatment needed to promote healing of a stress or traumatic fracture of a metatarsal bone. Zone one zone two and zone three fractures account for 93 four percent and three percent of proximal fifth metatarsal fractures.

Nondisplaced tuberosity avulsion fractures can be treated non-operatively. Nonoperative treatment in a nonweight-bearing short leg cast has been the traditional treatment 4 and is still widely practiced. The treatment of fifth metatarsal fractures is evolving and evidence-based medicine is directing care which can be nonoperative or operative.

Clapper et al 5. Treatment for a 5 th Metatarsal fracture will vary depending on how stable the fracture is. Advice after a 5th metatarsal fracture Date of publication December 2017 Ref.

Proximal fifth metatarsal fractures are divided into three zones3-5. With your heels together move your toes apart as shown in the picture. Surgical treatment is indicated when the fracture is dis.

Of all foot fractures the fifth metatarsal fracture is the most common. A complete clinical and radiological assessment is required to select the best treatment option. The choice of treatment varies by anatomical region patient history and radiological findings.

Second to fifth decades of life. RUH ABC567 Royal United Hospitals Bath NHS Foundation Trust Page 3 of 3 2. In some instances consultants will surgically stabilise them by inserting a screw straight away.

Treatment for these fractures is controversial. Treatment for a fifth metatarsal fracture Treatment for this type of fracture depends on where the bone is broken and how severe the breakage is. For the fracture of Zone II and Zone III percutaneous intramedullary screw is the first choice.

Epiphyseal and metaphyseal fractures have a good chance of healing with conservative care while diaphyseal fractures have a more difficult time healing and often require internal fixation. An avulsion fracture on the fifth metatarsal bone is called a dancers fracture What to Expect If your bones are still aligned meaning that the broken ends meet you will probably wear a cast or splint for 6 to 8 weeks. There are a variety of surgical methods for proximal fifth metatarsal fracture.

The location of the 5 th metatarsal fracture in the epiphysis metaphysis or diaphysis helps us understand the potential for the fracture to heal. All nondisplaced fractures including stress fractures can be treated nonoperatively391019. Since orthopedic surgeon Sir Robert Jones first described these fractures in 1902 there has been an abundance of literature focused on the proximal aspect of the fifth metacarpal due to its tendency towards poor bone healing.

5th metatarsal base fractures are common traumatic fractures among athletic populations that are notorious for nonunion due to tenuous blood supply. Make circles with your foot in one direction and then change direction. Fractures of the fifth metatarsal are common injuries that must be recognized and treated appropriately to avoid poor clinical outcomes for the patient.

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