See the separate leaflet called Osteoporosis for more detail.ĭoes ageing make metatarsal fractures more likely? Metatarsal fractures (of both types) occur more easily if the metatarsal bones are weakened due to 'thinning' of the bones (osteoporosis). Does osteoporosis cause metatarsal fractures? They can also occur in people who have lost nerve sensation in their feet due to neurological problems - for example, diabetes that has affected the feet. They are also frequently seen in ballet dancers and gymnasts.Ībnormalities of the structure of the foot, and abnormalities of the bones and joints, such as rheumatoid arthritis or 'thinning' of the bones ( osteoporosis), can make stress fractures more likely. It's advised to break in new running shoes gradually - many injuries result from a sudden change in running shoes. For example, for barefoot running you need to be taught the right technique.
However, before choosing something unusual such as barefoot shoes or corrective shoes, make sure you take advice. People's choices and needs for running shoes vary. Continue to exercise despite having foot pain.Have just changed their running shoes and not 'broken them in' carefully.Run in poor footwear that doesn't suit their feet.Suddenly increase their running mileage or intensity.Stress fractures are common in runners who: They are commonly seen in the military during training exercises. Therefore they are often found in athletes and sportspeople, although they can affect any runners, even those who only run a little. Marching or running for long distances, especially if carrying heavy packs (which is why they used to be called 'march fractures').Repeated stress to the bone, which is also termed overuse.This type of metatarsal fracture generally occurs due to: This is a common problem in ballet dancers. The shaft of the metatarsal is commonly injured because of twisting of the foot on landing from a jump.In this injury, the twisting mechanism pulls on a strong ligament that attaches to the base of the fifth metatarsal which then pulls off a fragment of bone. Twisting of the foot or the ankle can also cause fractures of the base of the fifth metatarsal.This may happen, for example, through someone stepping on or kicking the foot, by dropping something on to the foot or by falling on to the foot. These can be caused by direct injury to the foot.What causes metatarsal fractures? Acute metatarsal fractures However, several small stress fractures can develop around the same area, over time.
#TREATMENT FOR METATARSAL FRACTURE FULL#
The hairline break or breaks do not go through the full thickness of the bone, so stress fractures are not generally displaced.
There may be a single split in the bone, or multiple small splits. This is cracking which goes only partway through the bone. Stress fractureĪ stress fracture is a hairline break in a bone, caused by repetitive stress. Several well-known footballers have had metatarsal fractures in recent years. The first, second and fifth metatarsals are the most commonly injured in sport. The other metatarsal bones can also be broken. It may be broken at various points along its length, depending on the mechanism of injury. The fifth metatarsal bone is the most common metatarsal bone to be fractured in sudden (acute) injury to the foot.
This may involve an anaesthetic and some kind of metal pinning or plating to the bones. A displaced fracture needs specialist care, as the bones will need to be properly lined up and stabilised.
#TREATMENT FOR METATARSAL FRACTURE SKIN#
Open or closed: an open fracture is one where the skin is broken over the fracture so that there is a route of possible infection from the outside into the broken bones.This may be open or closed, and displaced or not displaced: Acute metatarsal fracture is usually caused by a sudden forceful injury to the foot, such as dropping a heavy object on to the foot, a fall, kicking against a hard object when tripping, or from a sporting injury.
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