![]() ![]() Our caring providers will ask questions about injuries to the area and any history of pain in the foot. How Are 5th Metatarsal Fractures Diagnosed? The location of the symptoms may indicate where the fracture has occurred and which type of 5th metatarsal fracture you have. ![]() Symptoms are generally the same regardless of fracture type. 5th Metatarsal Fracture Symptomsĥth metatarsal fracture symptoms are often noticeable on the outside of the foot and include: ![]() Fifth metatarsal shaft fracturesįractures to the shaft of the 5th metatarsal are often referred to as "dancer’s fractures." They can appear to look severe on x-rays, but most are treated nonoperatively. Athletes may consider surgical treatment to improve the speed and strength of healing. This area of the bone has a poor blood supply, and therefore, these breaks and stress fractures take longer to heal. They can also occur after increased pressure on the feet due to weight gain. These are often seen in athletes, since they can result from increased training regimens and foot stress, rapid side-to-side movements, and from dancing en pointe (ballet). When a break occurs slightly more distal on the 5 th metatarsal, away from the ankle, it is called a Jones fracture. In rare cases, surgery is needed to fuse the fractured bone properly. Most are treated nonoperatively with ice, rest and use of crutches, a cast or a walking boot. These kinds of breaks typically occur after an ankle sprain or roll. Avulsion FracturesĪn avulsion fracture of the 5th metatarsal happens at the end of the bone closest the ankle, the part of the bone attached to the tendon. Identifying the fracture location and severity is essential in determining treatment, and imaging such as X-rays are important for making an accurate diagnosis.Īnkle injuries and trauma injuries can cause a fracture of the 5th metatarsal, but the bone is also prone to stress fractures. Traumatic foot and ankle injuries, including stress fractures, can cause a the 5th metatarsal to crack or even break. Fractures of the 5th metatarsal are fairly common and can happen in different locations along the bone. The fifth metatarsal is the long bone on the outside of the foot that connects to the small toe. Billing, Insurance & Financial Assistance.Surgical intervention is recommended for patients presenting with a Jones fracture as it is found to result in a lesser non-union rate and an improved time to union.Ĭonservative Jones fracture Management Nonunion Surgical Time to union.Ĭopyright © 2015 Elsevier Ltd. Of the trials with time to union as an outcome measure, 3 of 4 trials found favourable results in the operative cohort. Studies also reported a prolonged healing time and a longer time to return to sports. Those in the non-operative group were found to have a significantly higher odds ratio (OR) of fracture non-union (OR 5.74, 95% confidence interval (CI) 2.65-12.40, P<0.001). Of these, 51% were treated non-operatively, and 49% had surgical intervention. Six relevant studies were included, with a total of 237 patients. Six studies were found evaluating operative therapy compared to conservative treatment. conservative management in the treatment of the Jones fracture.Ī systematic review using four databases from their inception until September 2014 was undertaken. This study assesses the outcomes of surgical vs. ![]()
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