AI Article Synopsis
- Metatarsal and toe fractures are common foot injuries, with nondislocated fractures generally treated effectively through conservative methods.
- Fractures near the base of the metatarsals often involve Lisfranc luxation and require careful evaluation of joint stability for proper treatment.
- Classifying fractures correctly is crucial for effective treatment, with surgery indicated for specific conditions like intra-articular involvement or significant misalignment.
Article Abstract
Metatarsal and toe fractures are the most frequent injuries of the foot skeleton. Nondislocated fractures can be conservatively treated with good success. Long-term relief and immobilization including the ankle joint are unnecessary. Metatarsal fractures close to the base are nearly always associated with Lisfranc luxation and treatment must also take the instability of the tarsometatarsal joints into consideratíon. Basal fractures of the 5th metatarsal bone require a differentiated consideration. The correct classification is necessary in order to initiate an adequate treatment. In general, intra-articular layer formation, inclination >10° and shortening between 3 mm and 5 mm, taking the position of the head of the metatarsal bone into consideration, are recommended as indications for surgery. Operative treatment of toe fractures is only rarely necessary.
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| http://dx.doi.org/10.1007/s00113-019-0620-1 | DOI Listing |
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