5th Metatarsal Fracture

What is a 5th Metatarsal Fracture?

The 5th metatarsal is the long bone on the outer part of your foot that connects to your little toe. A fracture in this bone can occur due to injury or stress. Due to the blood supply to this part of the body these fractures can take longer to heal than expected.

Types of 5th Metatarsal Fractures

  • Avulsion Fracture: A small piece of bone is pulled off by a tendon or ligament.

  • Jones Fracture: A fracture in the midsection of the 5th metatarsal, which can be difficult to heal due to limited blood supply.

  • Stress Fracture: A hairline crack in the bone due to repetitive stress.

Causes

  • Trauma: Direct blow to the foot, twisting injuries, or falls.

  • Repetitive Stress: Overuse, common in athletes and dancers.

Symptoms

  • Pain and Tenderness: Especially on the outer side of the foot.

  • Swelling and Bruising: Around the affected area.

  • Difficulty Walking: Pain while bearing weight on the foot.

  • Visible Deformity: In severe cases.

Diagnosis

  • Physical Examination: Checking for pain, swelling, and deformity.

  • X-rays: To confirm the fracture and determine its type and severity.

  • MRI or CT Scan: In some cases, for a detailed view.

Treatment Options

Treatment depends on the type and severity of the fracture.

Non-Surgical Treatment:

  • Rest and Ice: To reduce pain and swelling.

  • Elevation: Keep the foot raised to decrease swelling.

  • Immobilization: Using a cast, splint, or walking boot to keep the bone in place while it heals.

  • Pain Management: Over-the-counter pain relievers or prescribed medication.

  • Physical Therapy: To restore strength and mobility once the bone starts healing.

Recovery and Rehabilitation

  • Healing Time: Typically 6-8 weeks, but it can vary depending on the fracture type and individual healing rates.

  • Follow-Up Visits: Regular check-ups to monitor the healing process.

  • Gradual Weight-Bearing: Following your doctor’s advice on when to start putting weight on the foot.

  • Physical Therapy: Exercises to improve flexibility, strength, and balance.

Ways to Improve Fracture Healing

  • Follow Medical Advice: Adhere to instructions regarding immobilization, weight-bearing, and medication.

  • Healthy Diet: Ensure sufficient intake of calcium, vitamin D, protein, and other nutrients.

  • Avoid Smoking and Alcohol: These can delay bone healing.

  • Stay Hydrated: Drink plenty of water to support overall health.

  • Bone Growth Stimulator: Discuss with your doctor if a bone growth stimulator is appropriate for your fracture.

Prevention Tips

  • Proper Footwear: Wear supportive shoes that fit well.

  • Avoid Overuse: Gradually increase activity levels to prevent stress fractures.

  • Exercise Regularly: Strengthen the muscles around the foot and ankle.

When to Seek Medical Attention

  • Severe Pain or Swelling: That doesn't improve with rest and ice.

  • Inability to Move the Foot or Bear Weight: On the affected foot.

  • Visible Deformity: Or bones protruding through the skin.

  • Numbness or Tingling: In the foot or toes.

  • Attend all follow-up appointments to monitor the healing process.

  • Start physical therapy as recommended to regain full function of your foot.

Remember

5th metatarsal fractures are common injuries, but with proper treatment and care, most people can expect a full recovery and return to their normal activities.