Non-fifth metatarsal fracture
Background
- Must rule-out associated Lisfranc Injury
Clinical Features
- Foot pain
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
- Posterior ankle splint
- Non-weight bearing
Disposition
- Discharge with ortho follow-up in 2-3 days