Problemas de Pie en Español

• Artritis Reumatoide en el Pie y Tobillo
• Biopsia de Tejida Blando
• Buniones (Juanete)
• Coalición Tarsal
• Complicaciones Diabéticas y Prevención de Amputaciones
• Curación de Los Huesos
• Dedo Cruzado
• Dedo en Martillo
• Deformidad de Haglund
• Diabeticas: Estatisticas Alarmantes
• Disfunción de Tendón Tibial Posterior
• Dolor de Talón
• Dolor de Talón Infantil
• Ejercicios de Elongación
• El Dolor Crónico de Tobillo Lateral
• Enfermedad Vascular Periferica (PAD)
• Equinismo
• Esguince de Tobillo
• Fibroma Plantar
• Fractura de Estrés
• Fracturas de Los Dedos Del Pie
• Fracturas de Tobillo
• Fracturas del Calcáneo (Fracturas del Hueso del Talón)
• Fracturas del Quinto Metatarsiano
• Gota
• Hallux Rigidus
• Heridas Por Punción
• Inestabilidad Crónica de Tobillo
• Inicio de Drenaje Siguiendo Los Pasos de Absceso Infectado
• Inflamación Aguda
• Instrucciones par el Cuidado de Heridas
• Instrucciones Para Muletas
• Juanetes de Sastre
• Lesión del Domo Talar
• Lesiones de Lisfranc
• Lesiones del Tendón Peroneo
• Lesiones en un Hueso Sesamoideo del Pie
• Melanoma Maligno del Pie
• Necesito un Examen Para PAD?
• Neuroma de Morton
• Neuropatía Diabética Periférica
• Osteoartritis del Pie y el Tobillo
• Pie Cavo (Pie de Arco Alto)
• Pie de Atleta
• Pie de Charcot
• Pie Diabético
• Pie Plano Flexible
• Pie Plano Pediátrico
• Que Usted Espera con el Tratamiento de Acido par Alas Verrugas
• Que Usted Espera Por Las Inyecciones de Esteriodes
• Quiste de Ganglio
• Ruptura del Tendón de Aquiles
• Síndrome del Hueso Trigono
• Síndrome del Navicular Accesorio
• Síndrome del Túnel Tarsiano
• Tendinitis de Aquiles
• Terapia con Onda de Choque Extracorporea (ESWT)
• Trastornos Comunes del Tendón de Aquiles
• Trombosis Venosa Profunda
• Uña Encarnada del Dedo del Pie
• Uña Infectada Por Hongos
• Verruga Plantar (Verruca Plantaris)

Fifth Metatarsal Fracture

What is a Fifth Metatarsal Fracture?

Fractures (breaks) are common in the fifth metatarsal, which is the long bone on the outside of the foot that connects to the little toe. Two types of fractures that often occur in the fifth metatarsal are:

• Avulsion fracture. In an avulsion fracture, a small piece of bone is pulled off the main portion of the bone by a tendon or ligament. This type of fracture is the result of an inversion injury, in which the ankle rolls inward. Avulsion fractures are often overlooked when they occur with an ankle sprain.
  
  
• Jones fracture. Jones fractures occur in a small area of the fifth metatarsal that receives less blood and is therefore more prone to injury. A Jones fracture can be either a stress fracture (a tiny hairline break that occurs over time) or an acute (sudden) break. Jones fractures are caused by overuse, repetitive stress, or trauma. They are less common and more difficult to treat than avulsion fractures. Other types of fractures can occur in the fifth metatarsal. Examples include mid-shaft fractures, which usually result from trauma or twisting, and fractures of the metatarsal head and neck.
  
  

What are the Signs and Symptoms?

Avulsion and Jones fractures have the same signs and symptoms. These include:

• Pain, swelling, and tenderness on the outside of the foot
• Difficulty walking
• Bruising may occur
  
  

How are the Fifth Metatarsal Fractures Diagnosed?

Anyone who has symptoms of a fifth metatarsal fracture should see Dr. Neuhaus as soon as possible for proper diagnosis and treatment. To arrive at a diagnosis, Dr. Neuhaus will ask how the injury occurred or when the pain started. The foot will be examined, with Dr. Neuhaus gently pressing on different areas of the foot to determine where there is pain. Dr. Neuhaus will also order x-rays. Because a Jones fracture sometimes does not show up on initial x-rays, additional imaging studies may be needed.

What is the Correct Treatment for Fractures?

When it is not possible to see Dr. Matthew Neuhaus immediately, the "R.I.C.E." method of care should be performed. This involves:

• Rest. It is crucial to stay off the injured foot, since walking can cause further damage.
• Ice. To reduce swelling and pain, apply a bag of ice over a thin towel to the affected area for 20 minutes of each waking hour. Do not put the ice directly against the skin.
• Compression. Wrap the foot in an elastic bandage or wear a compression stocking to prevent further swelling.
• Elevation. Keep the foot elevated to reduce the swelling. It should be even with or slightly above the hip level.
  
  

Options for treatment of an avulsion fracture may include:

• Immobilization. Depending on the severity of the injury, the foot is kept immobile with a cast, cast boot, or stiff-soled shoe. Crutches may also be needed to avoid placing weight on the injured foot.
• Surgery. If the injury involves a displaced bone, multiple breaks, or has failed to adequately heal, surgery may be needed.
  
  

Options for treatment of a Jones fracture may include:

• Immobilization. As with avulsion fractures, initial treatment may involve immobilization, but typically for a longer period of time because these fractures take longer to heal.
• Bone stimulation. A pain-free external device is used to speed the healing of some fractures. Bone stimulation may be used as part of the treatment or following an inadequate response to immobilization.
• Surgery. Surgery may be needed, since Jones fractures often do not heal through immobilization and bone stimulation. If surgery is required for treatment of a fifth metatarsal fracture, Dr. Neuhaus will determine the type of procedure that is best suited to the individual patient.