$5th metatarsal fracture recovery$

$5th metatarsal fracture recovery$

5th Metatarsal Fracture Recovery: A Guide to Treatment Options

The 5th metatarsal bone is one of the long bones in the foot that connects the toes to the rest of the body. Fractures, or breaks, can occur due to direct blows or twisting injuries. In fact, approximately one-third of all metatarsal fractures involve the shaft or distal portion of the 5th metatarsal bone.

While there are no evidence-based treatment recommendations for metatarsal fractures in general, research has shown that different zones of the fracture require varying approaches. Fractures in zone III, which is located at the distal end of the joint, should primarily be treated surgically. On the other hand, fractures in zones I and II, which are located proximal to the intermetatarsal joint and in the area of the joint, respectively, can be effectively treated with early functional therapy.

In a systematic literature search, researchers analyzed studies that compared different treatments for metatarsal fractures. They found that patients who received functional therapy returned to full function faster than those who underwent immobilization (33 vs. 28 days). Additionally, two randomized controlled trials (RCTs) revealed similar outcomes for immobilization and surgery.

In terms of specific treatment options, five studies compared the treatment of zone I and II fractures using the same method, with similar outcomes reported in all cases. One RCT even found that functional therapy resulted in a statistically significant improvement in outcome when compared to immobilization (p < 0.05). Non-randomized studies also showed faster return to full function for patients who received early functional therapy.

Overall, while there is no one-size-fits-all approach to treating metatarsal fractures, the available evidence suggests that early functional therapy can be an effective treatment option for zones I and II fractures. If you have suffered a 5th metatarsal fracture, it is essential to consult with a healthcare professional to determine the best course of treatment for your specific injury.

$5th metatarsal fracture recovery$