Acute Metatarsal Fractures

This is a fracture to the metatarsal bones caused by a violent impact. Something is often dropped on the foot or the foot might be stepped on. Also, a violent twisting or turning motion at the ankle may cause a fracture in the 5th metatarsal in the particular. These can include an avulsion fracture, where the tendon of the Peroneus Brevis muslce pulls a piece of the bone away. Or a jones fracture which occurs at the base of the 5th metatarsal. This area typically has a poor blood supply and so healing may be affected.

What are the symptoms?

- Acute pain at the point of trauma

- Rapid swelling

- Inability to weight bear

- There may be deformity in the foot.

Bruising will usually develop within 24 hours.

What can the athlete do?

- See a doctor as possible.

- X-rays will be taken of the foot to confirm a fracture.

How are they Treated?

- If the bones are not displaced then a short cast or boot will be fitted for the first three weeks.

- After six weeks the foot should be X-rayed again to ensure it has healed.

- More complex or displaced fracture may require surgical fixation.

- Jones fractures require 6-8 weeks of non-weight bearing immobilization.

- Once the cast has been removed, a thorough rehabilitation plan should begin to regain full mobility and strength.

- A gradual return to sport can then begin!

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