Non-fifth metatarsal fracture: Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "Category:Ortho" to "Category:Orthopedics") |
|||
| (13 intermediate revisions by 4 users not shown) | |||
| Line 1: | Line 1: | ||
==Background== | ==Background== | ||
[[File:Foot_Bones.jpg|thumb|Bones of the foot.]] | |||
*Must rule-out associated [[Lisfranc Injury]] | *Must rule-out associated [[Lisfranc Injury]] | ||
==Clinical Features== | |||
*Foot pain / history of trauma | |||
*Often unable to bear weight | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Foot and toe fractures DDX}} | {{Foot and toe fractures DDX}} | ||
==Evaluation== | |||
[[File:PMC3411541 cmed-5-2012-039f3.png|thumb|Radiography of left foot showing fracture of the first metatarsal (arrow).]] | |||
===Workup=== | |||
*Plain x-rays | |||
===Diagnosis=== | |||
*Typically on plain x-rays | |||
==Management== | ==Management== | ||
*[[Posterior | {{General Fracture 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]] | |||
*Non-weight bearing | *Non-weight bearing | ||
* | |||
==Disposition== | |||
*Discharge with ortho follow-up in 2-3 days | |||
==See Also== | ==See Also== | ||
*[[Foot and toe fractures]] | *[[Foot and toe fractures]] | ||
*[[Foot | *[[Foot diagnoses]] | ||
*[[Fifth metatarsal fracture]] | |||
==External Links== | |||
== | ==References== | ||
<references/> | |||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
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