Non-fifth metatarsal fracture: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Foot pain | *Foot pain / history of trauma | ||
*Often unable to bear weight | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Evaluation== | ==Evaluation== | ||
[[File:PMC3411541 cmed-5-2012-039f3.png|thumb|Radiography of left foot showing fracture of the first metatarsal (arrow).]] | |||
===Workup=== | |||
*Plain x-rays | *Plain x-rays | ||
===Diagnosis=== | |||
*Typically on plain x-rays | |||
==Management== | ==Management== | ||
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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> | |||
**Non-displaced 1st metatarsal fracture | |||
**Isolated, non-displaced central (2nd-4th) metatarsal fracture | |||
Otherwise: | |||
*[[Posterior ankle splint]] | *[[Posterior ankle splint]] | ||
*Non-weight bearing | *Non-weight bearing | ||
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*[[Foot diagnoses]] | *[[Foot diagnoses]] | ||
*[[Fifth metatarsal fracture]] | *[[Fifth metatarsal fracture]] | ||
==External Links== | |||
==References== | ==References== | ||
Latest revision as of 18:42, 6 July 2022
Background
- Must rule-out associated Lisfranc Injury
Clinical Features
- Foot pain / history of trauma
- Often unable to bear weight
Differential Diagnosis
Foot and Toe Fracture Types
Hindfoot
Midfoot
Forefoot
Evaluation
Workup
- Plain x-rays
Diagnosis
- Typically on 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