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Updated: Jan 28, 2026

Culture of Murine Embryonic Metatarsals: A Physiological Model of Endochondral Ossification

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Published on: December 3, 2016

[Metatarsal and toe fractures].

M Beck¹, A Wichelhaus², R Rotter²

¹Klinik für Orthopädie und Unfallchirurgie, St. Bernward Krankenhaus, Treibestr. 9, 31134, Hildesheim, Deutschland. pd.dr.m.beck@bernward-khs.de.

Der Unfallchirurg

|March 9, 2019

Summary

This summary is machine-generated.

Most foot fractures, including metatarsal and toe breaks, heal well with conservative treatment. Surgery for these foot injuries is rarely needed, except for specific complex fractures.

Keywords:

Classification Conservative treatment Evidence-based medicine Fracture dislocation Osteosynthesis, fracture

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Area of Science:

Orthopedic Surgery
Podiatric Medicine
Traumatology

Background:

Metatarsal and toe fractures are common foot injuries.
Nondislocated fractures typically respond well to conservative management.
Complex fractures, such as those involving the base of the 5th metatarsal or Lisfranc joint, require careful evaluation.

Purpose of the Study:

To review the management of metatarsal and toe fractures.
To outline criteria for surgical intervention in specific fracture types.
To emphasize the importance of accurate fracture classification for treatment decisions.

Main Methods:

Review of existing literature on foot fracture treatment.
Analysis of fracture characteristics influencing treatment choice.
Discussion of conservative versus operative management strategies.

Main Results:

Nondislocated metatarsal and toe fractures generally do not require prolonged immobilization or ankle joint involvement.
Metatarsal fractures at the base often indicate Lisfranc injury, necessitating tarsometatarsal joint stability assessment.
Surgical indications for basal 5th metatarsal fractures include intra-articular involvement, >10° inclination, and 3-5 mm shortening.

Conclusions:

Conservative treatment is effective for most nondislocated foot fractures.
Specific fracture patterns, particularly basal 5th metatarsal and Lisfranc injuries, demand individualized treatment plans.
Operative intervention for toe fractures is infrequently indicated.