Fifth metatarsal fracture (split)
Hello Doctor, I have a fracture in the fifth metatarsal of my right foot.
I went to an orthopedic clinic for an X-ray, and since there is no displacement, I did not need a cast or surgery.
I would like to ask which type of brace is suitable for wearing with a fifth metatarsal fracture.
Thank you, Doctor! Here is my X-ray: https://drive.google.com/file/d/1jxF9Fndu5_cPVcNFQ3htFlBZgDIZpxEg/view?usp=sharing
Xiao Yu, 30~39 year old female. Ask Date: 2021/02/26
Dr. Shi Guozheng reply Orthopedics
Typically, protective gear can effectively safeguard for about four weeks, after which normal activities can be resumed without the need for special treatment.
Reply Date: 2021/02/26
More Info
When dealing with a non-displaced fifth metatarsal fracture, the treatment primarily focuses on providing adequate support and protection to facilitate healing while minimizing discomfort. Since your fracture is non-displaced, the good news is that it typically has a favorable prognosis and does not require surgical intervention. However, appropriate supportive gear is essential to ensure proper healing and to allow you to maintain mobility.
The best supportive gear for a non-displaced fifth metatarsal fracture includes:
1. Walking Boot (Cam Boot): A walking boot is often recommended for this type of injury. It provides a rigid structure that immobilizes the foot while allowing for some mobility. The boot can be adjusted for comfort and can help reduce weight-bearing on the injured area. It is designed to protect the foot and ankle while allowing you to walk without putting excessive pressure on the fracture site.
2. Stiff-soled Shoe: If a walking boot is not available or if you prefer a more discreet option, a stiff-soled shoe can be used. This type of shoe limits motion in the foot and provides some level of support. It is crucial that the shoe has a wide toe box to accommodate any swelling and does not place pressure on the fracture site.
3. Orthotic Inserts: Depending on your foot structure and comfort, custom or over-the-counter orthotic inserts can provide additional arch support and cushioning. This can help distribute weight more evenly across the foot and reduce strain on the injured area.
4. Crutches or a Cane: While not a supportive gear for the foot itself, using crutches or a cane can help you avoid putting weight on the injured foot, especially in the initial stages of recovery. This can be particularly useful if you experience pain or discomfort while walking.
5. Compression Socks: While not directly supportive of the fracture, wearing compression socks can help reduce swelling in the foot and ankle, which is beneficial during the healing process.
In terms of duration for wearing supportive gear, it generally depends on the healing progress, which can take anywhere from 6 to 8 weeks for a non-displaced fracture. Regular follow-up appointments with your orthopedic specialist are essential to monitor the healing process through X-rays and clinical assessment.
It is also important to engage in gentle range-of-motion exercises as advised by your healthcare provider once the initial pain subsides. This can help prevent stiffness and promote circulation in the area. However, avoid any activities that cause pain or discomfort until you receive clearance from your doctor.
In summary, a walking boot is typically the best option for a non-displaced fifth metatarsal fracture, along with the potential use of stiff-soled shoes, orthotic inserts, and mobility aids like crutches. Always consult with your healthcare provider for personalized recommendations based on your specific situation and healing progress.
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