Best Protective Gear for Recovering from Fifth Metatarsal Fracture - Orthopedics

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Recently, I suffered a fracture of the fifth metatarsal in my left foot while playing basketball.
I'm curious about what type of brace the doctor would recommend for protecting the old injury when I return to the court.
Thank you.

An Di, 10~19 year old female. Ask Date: 2020/10/10

Dr. Chen Bochen reply Orthopedics


An ankle brace similar to this one: https://www.google.com/search?q=%E8%AD%B7%E8%B8%9D&sxsrf=ALeKk02NyD0Ur8lTc4CvvcP55B98oJsm5A:1602393621484&source=lnms&tbm=isch&sa=X&ved=2ahUKEwjT8eS05avsAhWCxosBHcRqCLcQ_AUoAXoECAwQAw#imgrc=sy1tbhMNSJaE2M&imgdii=_9czatBNlAeJ9M

Reply Date: 2020/10/10

More Info


Recovering from a fifth metatarsal fracture, especially after an injury sustained while playing basketball, requires careful consideration of protective gear to ensure proper healing and prevent re-injury. The fifth metatarsal is located on the outer side of the foot and is commonly fractured due to its position and the forces exerted during activities like jumping or pivoting. Here’s a comprehensive guide on the best protective gear for your recovery and return to the basketball court.


1. Walking Boot (Cam Walker)
A walking boot, also known as a cam walker, is often recommended for patients recovering from a fifth metatarsal fracture. This boot provides immobilization, which is crucial during the initial healing phase. It allows you to walk without putting excessive pressure on the injured area, reducing the risk of further injury. The boot typically has adjustable straps and a rigid sole, which helps in distributing weight evenly across the foot.


2. Ankle Brace
Once your doctor clears you for more activity, an ankle brace can provide additional support. Look for a brace that offers lateral stability, as this will help protect the fifth metatarsal from excessive movement during basketball activities. A lace-up brace or a stirrup brace can be effective in providing the necessary support while allowing some mobility.


3. Custom Orthotics
If you have a history of foot issues or if your foot mechanics contributed to the fracture, custom orthotics may be beneficial. These are specially designed insoles that provide arch support and help in distributing pressure evenly across your foot. They can be used in conjunction with your regular footwear or protective gear to enhance comfort and support.


4. Sturdy Basketball Shoes
When you return to the court, investing in a good pair of basketball shoes is essential. Look for shoes that provide excellent ankle support, cushioning, and a non-slip sole. Shoes with a wider toe box can also help accommodate any swelling or discomfort as you transition back to playing.


5. Taping
Some athletes find that taping their foot can provide additional support and stability. Kinesiology tape can be applied to support the arch and the fifth metatarsal area, helping to prevent excessive movement that could lead to re-injury. However, taping should be done by a professional or under guidance to ensure it is applied correctly.


6. Gradual Return to Activity
While protective gear is essential, it’s equally important to follow a structured rehabilitation program. Gradually increasing your activity level, starting with low-impact exercises and progressing to basketball-specific drills, will help strengthen the foot and improve stability. Always consult with your healthcare provider or physical therapist before resuming full activity.


7. Monitoring Symptoms
Pay attention to any pain, swelling, or discomfort in the area of the fracture. If you experience any of these symptoms while using protective gear or during activity, it may be a sign that you need to adjust your approach or seek further medical advice.


Conclusion
In summary, the best protective gear for recovering from a fifth metatarsal fracture includes a walking boot for initial healing, an ankle brace for added support during activity, custom orthotics if needed, and sturdy basketball shoes upon returning to play. Taping can also provide additional support. Always prioritize a gradual return to activity and consult with your healthcare provider to ensure a safe and effective recovery. By taking these precautions, you can protect your injury and reduce the risk of re-injury as you return to the basketball court.

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