Diagnosis |
METATARSAL FRACTURES
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| Definition |
A metatarsal fracture is a break of one
of the long thin bones of the foot.
5th
Metatarsal Fracture Xray |
| Details |
Your foot has five metatarsals. Metatarsal
fractures range from very minor to severe injuries. It depends on the
pattern of injury and the amount of displacement of the fracture. At
times, these fractures can occur in an area of the foot with poor blood
flow. This makes fracture healing more difficult. A "Jones Fracture" is
an example of one such fracture. Often, this particular fracture
requires surgery. |
| Causes |
Most metatarsal fractures are caused by
twisting or direct impact (like dropping a heavy object on your foot).
Metatarsal fractures can be missed sometimes because the symptoms can be
similar to an ankle sprain. |
| Diagnosis |
A metatarsal fractures is diagnosed by a
history of an injury to the foot followed by pain and swelling. X-rays
help to confirm the fracture. Rarely, a CT scan or MRI is needed to rule
out other injuries. |
| Treatment |
Immediate Treatment: Elevate and ice
foot. Use crutches.
Nonoperative: Most metatarsal fractures can be treated with a
stiff soled shoe or a walking cast. More severe fractures may require a
non-weight bearing cast for several weeks.
Operative: Surgery may be required for metatarsal fractures
that occur in an area of the foot with poor blood supply or in cases
where the bones are significantly out of place.
Surgical treatment of a 5th Metatarsal Fracture
Surgical treatment of metatarsal fracture/dislocation with screws (Lisfranc
Fracture) |
| Prevention |
Excellent balance, coordination and strength of the foot and ankle
may help prevent some metatarsal fractures.
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