Do You Need Surgery for a Non-Displaced Fifth Metatarsal Fracture?

Non-displaced fracture of the fifth metatarsal?

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Miss Chen, 40~49 year old female. Ask Date: 2019/06/24

Dr. Li Yongheng reply Orthopedics

Hello, a non-displaced fracture of the fifth metatarsal does not require surgery.
The left foot should not bear weight for at least four weeks, and it is recommended to use bilateral crutches.

Reply Date: 2019/06/24

More Info

When it comes to a non-displaced fifth metatarsal fracture, surgery is typically not required. Non-displaced fractures mean that the bone has cracked but has not moved out of its normal alignment. In most cases, these types of fractures can heal effectively with conservative treatment methods, which often include rest, ice, compression, and elevation (RICE), as well as the use of a walking boot or stiff-soled shoe to protect the foot during the healing process.

Treatment Options for Non-Displaced Fifth Metatarsal Fractures
1. Conservative Management: The first line of treatment for a non-displaced fifth metatarsal fracture usually involves conservative management. This includes:
- Rest: Avoid putting weight on the injured foot to allow the bone to heal.

- Ice: Applying ice can help reduce swelling and pain.

- Compression: Using a compression bandage can help manage swelling.

- Elevation: Keeping the foot elevated can also aid in reducing swelling.

2. Immobilization: A walking boot or a stiff-soled shoe may be recommended to protect the foot and limit movement during the healing process. This can help alleviate pain and prevent further injury.

3. Physical Therapy: Once the initial pain and swelling have subsided, physical therapy may be beneficial to restore strength and flexibility to the foot.

When is Surgery Considered?
Surgery may be considered in specific circumstances, such as:
- If the fracture is displaced (the bone fragments are misaligned).

- If there are multiple fractures in the area.

- If the fracture does not heal properly with conservative treatment.

- If there is significant pain or functional impairment that does not improve over time.

Healing Time
The healing time for a non-displaced fifth metatarsal fracture typically ranges from 6 to 8 weeks, depending on various factors such as the patient's age, overall health, and adherence to treatment protocols. During this time, it is crucial to follow the doctor's recommendations and avoid activities that could stress the healing bone.

Follow-Up Care
Regular follow-up appointments with your healthcare provider are essential to monitor the healing process. X-rays may be taken to ensure that the fracture is healing correctly. If there are any concerns about the healing process or if pain persists, further evaluation may be necessary.

Conclusion
In summary, surgery is generally not needed for a non-displaced fifth metatarsal fracture. Conservative treatment methods are usually effective, and the majority of patients can expect a full recovery with appropriate care. However, it is essential to follow up with your healthcare provider and adhere to their recommendations to ensure optimal healing. If you have any concerns or if your symptoms worsen, do not hesitate to seek further medical advice.

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