5th Metatarsal
Mangement Isolated Base 5th Metatarsal Fractures - ADULTS only (over 18)
Clinical Examination
Patient presents with lateral foot pain over the 5th metatarsal with typical inversion injury mechanism.
Clinical examination indicates X-Ray of the foot
Foot X-ray ordered and AP, Oblique and lateral views performed
Closed Fracture of any zone that is not off ended (non-sports person)
- Allow fully weightbaring (give crutches if unable to weightbare initially)
- Fit the correctly sized orthopaedic short walking boot OR the patients own stiff soled shoe. This is to be worn for 6-8 weeks. Can move to normal foot wear when comfortable)
- Read through the 5th Metatarasal fracture discharge leaflet with the patient or carer. Highlight safety net advice
- Refer to Physio via EPR if patient wishes
- Advise patient symptoms will take 3-6 months to fully settle
- Discharge. NO NPC follow up
Closed fracture of any zone that is not off ended & patient takes part in competative sport
- Allow fully weightbaring (give crutches if unable to weightbare initially)
- Fit the correctly sized orthopaedic short walking boot OR the patients own stiff soled shoe.
- Read through the 5th Metatarasal fracture discharge leaflet with the patient or carer. Highlight safety net advice
- NPC follow up 7 days
Open Fracture/ suspected Lisfranc or other immediate clinical concerns
- Open fracture, Lisfranc injury or other immediate clinical concern.
- DIscuss with On Call Trauma Reg Bleep 1222
- Treat as per recommendations