Non-fifth metatarsal fracture: Difference between revisions
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===Specific Management=== | ===Specific Management=== | ||
*Hard-sole shoe or walking boot for <ref> https://www.orthobullets.com/foot-and-ankle/7032/metatarsal-fractures </ref> | *Hard-sole shoe or walking boot for:<ref> https://www.orthobullets.com/foot-and-ankle/7032/metatarsal-fractures </ref> | ||
**Non-displaced 1st metatarsal fracture | **Non-displaced 1st metatarsal fracture | ||
**Isolated, non-displaced central (2nd-4th) metatarsal fracture | **Isolated, non-displaced central (2nd-4th) metatarsal fracture | ||
Revision as of 16:38, 9 June 2022
Background
- Must rule-out associated Lisfranc Injury
Clinical Features
- Foot pain
- Often unable to bear weight
Differential Diagnosis
Foot and Toe Fracture Types
Hindfoot
Midfoot
Forefoot
Evaluation
- Plain x-rays
Management
General Fracture Management
- Acute pain management
- Open fractures require immediate IV antibiotics and urgent surgical washout
- Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
- Consider risk for compartment syndrome
Specific Management
- Hard-sole shoe or walking boot for:[1]
- Non-displaced 1st metatarsal fracture
- Isolated, non-displaced central (2nd-4th) metatarsal fracture
Otherwise:
- Posterior ankle splint
- Non-weight bearing
Disposition
- Discharge with ortho follow-up in 2-3 days