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Metatarsal fractures.

Stefan Rammelt1, Jan Heineck, Hans Zwipp

  • 1Department of Trauma and Reconstructive Surgery, University Hospital, Carl Gustav Carus, Dresden, Germany. strammelt@hotmail.com

Injury
|August 19, 2004
PubMed
Summary

Metatarsal fractures are common foot injuries. Treatment varies from conservative methods for non-displaced fractures to surgical fixation for complex cases, aiming to restore function and reduce pain.

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Podiatric Medicine

Background:

  • Metatarsal fractures are frequent injuries.
  • Malunited fractures often lead to chronic pain and functional disability.
  • Understanding treatment nuances is crucial for optimal outcomes.

Purpose of the Study:

  • To review current treatment strategies for various metatarsal fractures.
  • To outline management approaches based on fracture type, displacement, and location.
  • To emphasize the importance of individualized treatment for optimal patient recovery.

Main Methods:

  • Review of conservative and surgical treatment modalities for metatarsal fractures.
  • Discussion of internal fixation techniques including percutaneous pinning and plate fixation.
  • Analysis of specific fracture types like Jones fractures and avulsion fractures of the fifth metatarsal.
  • Consideration of stress fractures and post-traumatic deformities.

Main Results:

  • Nondisplaced fractures and some displaced lesser metatarsal fractures are managed conservatively with protected weight-bearing.
  • Displaced fractures often require closed reduction with internal fixation (percutaneous pinning or open reduction and plate fixation).
  • Fifth metatarsal fractures (Jones, avulsion) and stress fractures necessitate tailored, often nonoperative, approaches.
  • Symptomatic post-traumatic deformities typically require corrective osteotomy.

Conclusions:

  • Effective management of metatarsal fractures depends on accurate diagnosis and fracture classification.
  • Treatment selection ranges from conservative measures to complex surgical interventions.
  • Individualized approaches, particularly for fifth metatarsal and stress fractures, are key to successful union and functional restoration.

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