Base of 5th Metatarsal Fracture

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Patient Information

GP Information

Background Information

  • A common injury classically caused by ankle inversion / adduction / or repetitive microtrauma.
  • Patients typically complain of pain on the lateral boarder of the foot worse on weight -bearing.
  • Examination may reveal tenderness on direct palpation.

Investigation Guidelines

  • Patients with suspected fractures should undergo imaging as part of a specialist assessment.

Management Recommendations

  • All patients with suspected acute 5th metatarsal fractures should be referred immediately to A&E for imaging and further management.
  • Delayed presentations should be referred to a local fracture clinic. Whilst awaiting a review the following conservative measures are recommended;
  • PRICE.
  • NSAIDs.
  • Crutches to off load the injured leg.
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