Fifth Metatarsal Fracture, Broken Bone in the Foot
The most common foot fracture is found in the fifth metatarsal. This bone is on the outside of the foot that connects to the little toe. There are two main types of fractures that occur the most in the fifth metatarsal. Dr. Nguyen Ky DPM is a San Jose podiatrist that can diagnose, treat, perform surgery on broken bones of the foot and ankle.
An Avulsion fracture is when a small piece of bone has been pulled away from the main portion of the bone by a ligament or tendon. This is the result of an inversion injury, for instance, when an ankle rolls inward. Many times this fracture is overlooked and thought to be an ankle sprain instead.
This type of fracture occurs in a small area of the fifth metatarsal that receives less blood flow. Having less blood flow means that the area is more prone to injury. A Jones fracture can occur in two ways. The first can be a stress fracture, which starts out as a tiny hairline break and just gets worse over time. Another type of Jones fracture is an acute break. This is the result of a sudden break that is often caused by overuse, trauma, or repetitive stress. Jones fractures are less common but more difficult to treat than avulsion fractures.
There are other types of fractures that can occur in the fifth metatarsal. This can include mid-shaft fractures that happen by twisting the foot.
Signs and Symptoms
Both Avulsion and Jones fractures have the same signs and symptoms. This include:
-Pain, swelling, and tenderness on the outside of the foot
If you experience any of these symptoms after hurting your foot, you should see a foot and ankle surgeon as soon as possible. They will diagnosis your injury by asking how the injury occurred and when the pain started. The San Jose foot surgeon will examine your foot by getting pressing on different areas of the foot to determine where you experience the most pain. To diagnose a fifth metatarsal fracture the podiatrist will order x-rays. In some cases, a Jones fracture will not show up on initial x-rays, so additional images might be needed. This type of injury is included int the toes / foot / metatarsal fractures for diagnosis, treatment, surgery,
If you are unable to see a San Jose podiatrist immediately the ‘R.I.C.E.’ method of care needs to be used. This involves:
-Rest: Stay off of your injured foot, or you could further damage the fracture.
-Ice: This will help reduce swelling and pain. Apply a bag of ice wrapped in a thin towel to the affected area for 20 minutes every hour.
-Compression: Wrap your foot in an elastic bandage or wear a compression sock. This will help to prevent further swelling.
-Elevation: Keeping your foot up will also help reduce swelling. Try to keep it slightly above hip level.
Treatment Options for Avulsion Fractures in San Jose CA
-Immobilization: This will depend on the severity of the fracture. In some cases your foot will need to be kept immobile with a cast, walking boot, or a stiff-soled shoe. Using crutches will also help you avoid placing weight on the foot.
Surgery: If the fifth metatarsal fracture displaced a bone, has multiple breaks or has not healed correctly, then surgery may be needed.
Treatment Options for Jones Fractures in San Jose
-Immobilization: This is the same as the Avulsion fracture treatment. However, this will typically last for a longer period of time since these take longer to heal.
-Bone Stimulation: A pain-free external device is used to help speed up the healing process. This can be used as part of the initial treatment plan or after an inadequate response to immobilization. Long term issues may lead to osteoarthritis.
-Surgery: This option is used as a last restore if the bone does not heal through immobilization and bone stimulation. If surgery is needed then the San Jose podiatrist will determine which procedure will have the most effect on your fracture.
Avulsion fractures / Jone’s fractures are fratures of the foot that your San Jose foot / ankle surgeon can treat for you either by immobilization or by surgery.
We can help your foot, ankle or toes condition – Call Dr. Nguyen Ky today if you need help with or have questions about 5th foot bone metatarsal fractures treatments / surgery in San Jose CA, call us today or send an email to the right!!
Dr. Nguyen Ky D.P.M. (408) 292-2485
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