![]() ![]() ![]() ![]() Some acute fractures of the metatarsal bones require surgery, especially if the break is badly displaced. Use of a postoperative shoe or boot walker is also helpful. A stiff-soled shoe or other form of immobilization may be used to protect the fractured bone while it heals. Immobilization, casting, or rigid shoe.Because stress fractures result from repetitive stress, it is important to avoid the activity that led to the fracture. Medications such as ibuprofen and naproxen can be taken to reduce pain and inflammation. Non-surgical treatment for a metatarsal fracture includes: Non-Surgical Treatmentįor mild stress fractures, conservative methods such as rest and anti-inflammatory medication can be used to manage symptoms. Most metatarsal fractures do not require surgery, but your Raleigh Orthopaedic physician will determine the right treatment plan to ensure you make a full recovery. Stress fractures normally heal without any complications and patients are able to return to their previous activities fully. Treatment will depend on which metatarsal bone is fractured, which part of the metatarsal bone is fractured, how severe the damage is, and whether it is an acute or stress fracture. In some cases, a bone scan or MRI may be performed to find stress fractures, since they do not show up easily on X-ray. Imaging tests, such as an X-ray, will be ordered to see initial cracks and any irregularities in the bone as it starts to heal and remodel itself. The foot will be examined by gently pressing on different areas of the foot to determine where there is pain. To diagnose a metatarsal fracture, your Raleigh Orthopaedic physician will ask how the injury occurred and when the pain started. Pain that goes away when resting and then returns when standing or during activity.Pinpoint pain (pain at the place of impact) at the time the fracture occurs and perhaps for a few hours later, but often the pain goes away after several hours.You may hear a sound at the time of the break.Symptoms of a Metatarsal Fracture Acute Metatarsal Fractures Overuse : activities like running and jumping can put repetitive stress on your metatarsal bones and can cause them to crack over time.Ankle twisting : when your ankle twists, it pulls on the ligament that attaches to the base of your fifth metatarsal.Direct blow to the foot : when someone steps on or kicks the foot, by dropping something on to the foot, or by falling on to the foot.The main causes of a metatarsal fracture include: In order to treat a displaced fracture, the bones need to be lined up and stabilized using some kind of metal pinning or plating. Displaced or not displacedĪ displaced fracture is one where, following the break, the bones slip out of line. Open fractures cause more damage to the soft tissues around it making treatment and healing more complicated. Open or closedĪn open fracture is when the skin is broken over the fracture so that there is a route of possible infection from the outside into the broken bones. An acute metatarsal fracture can be open or closed, and displaced or not displaced. Types of Metatarsal FracturesĪcute fractures are caused by a direct blow or impact, while stress fractures occur over a long period of time. The first, second, and fifth metatarsals are the ones most frequently injured in sports. It may break at various points along its length, depending on the type of injury. The fifth metatarsal bone is the most common to be fractured in sudden (acute) injury to the foot. The fifth metatarsal is the long bone on the outside of the foot that connects to the little toe. This may be due to sudden injury (an acute fracture) or repeated stress (a stress fracture). A metatarsal fracture occurs when one of the long bones of the midfoot is cracked or broken. They are long, slim bones that run the lengths of the foot to the base of the toes. There are five metatarsal bones in each foot. The structure of the foot is complex, consisting of bones, muscles, tendons, and other soft tissues. ![]()
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