


When this type of fracture occurs it often occurs alongside other foot injuries. These breaks occur at the metatarsal head and neck and are typically diagonal. Often called a Dancers Fracture, Mid-shaft fractures usually result from trauma or twisting. Important: if you are a patient at the Great Western Hospital and have a query. They are more difficult to treat and are less common. Virtual Fracture Clinic: Injuries: Foot: Fifth metatarsal mid-shaft fracture. These types of fractures are caused by overuse, repetitive stress or trauma. Fifth metatarsal The fifth metatarsal has a tuberosity lateral to the base, which can be both seen and felt on the lateral border of the foot. A Jones fracture can be either a stress fracture, which is a small hairline break that happens over time, or an acute break. Jones fractures occur in an area of the fifth metatarsal that receives less blood and as a result, experience more difficulties healing. Avulsion fractures are often missed when they occur with an ankle sprain. There is a slight bump on the outside of the foot nearly halfway along. Fractures such as this come from an injury that causes your ankle to roll. The foot has five metatarsal bones and the 5th is the one on the outside if the foot. In this type of fracture, a small piece of bone is pulled off the main portion of your bone by a ligament or tendon. Additionally, it's the only metatarsal bone that has two points of contact with the ground, one at either end. paracetamol and ibuprofen) as needed Elevate your leg while sitting by using pillows or a stool - this will. The fifth metatarsal is unique in that it also curves outward. What should I do Take regular pain relief (e.g. The metatarsals curve upward and give your foot its arch. Medial Collateral Ligament (MCL) InjuryĪvulsion fractures make up 93% of all fifth metatarsal fractures. The fifth metatarsal bone lies on the outer edge of your foot and connects to your little toe.Elbow MCL (Medial Collateral Ligament) Sprain.They are the long slim bones which run the length of the foot to the base of the toes. In addition, clinicians should also have a thorough understanding of common complications of fracture and associated disposal methods.ĭiagnosis Fractures Metatarsal bones Treatment.Ĭopyright© 2019 by the China Journal of Orthopaedics and Traumatology Press. Symptoms of metatarsalgia can include: Sharp, aching or burning pain in the ball of your foot the part of the sole just behind your toes. There are five metatarsal bones in each foot. What is a 5th metatarsal fracture A fifth metatarsal fracture is a broken bone on the outer edge of your foot and one of the most common foot injuries. For the fracture of Zone II and Zone III, percutaneous intramedullary screw is the first choice. The fifth metatarsal bone is a long bone in the foot, and is palpable along the distal outer edges of the feet. There are a variety of surgical methods for proximal fifth metatarsal fracture. Together, the metatarsal and tarsal bones help to form the main arches of the foot, which are essential for weight-bearing and walking. Epidemiology It is most commonly seen in males with sport injuries and is often also seen in adolescents. Based on the classification system, each type of fracture has a corresponding treatment plan and prognosis. Iselin disease is a benign and self-limiting condition, defined as apophysitis of the base of the 5th metatarsal. The system divides proximal fifth metatarsal fracture into three types:avulsion fractures of tuberosity(Zone I), fractures at the metaphysis-diaphysis junction, which extend into the fourth-fifth intermetatarsal facet (Zone II) and the proximal diaphyseal fractures(Zone III). Additional care, such as a cast, boot, or crutches, may also be. Staying off the foot and using RICE is recommended right after the injury. At present, the classification system of proximal fifth metatarsal fracture is complicated and not yet unified, and Lawrence and Botte classification is more recommended. Background: Metatarsal fractures are among the most common foot and ankle injuries, with an annual incidence of 6.7 per 100 000 persons. Fifth metatarsal breaks usually require medical care. As one of the most common fractures of the foot, the blood supply characteristics and unique anatomy of proximal fifth metatarsal fracture makes a high risk of delayed union or non-union of fractures occurring at the junction of the diaphyseal-metaphyseal.
