Fifth metatarsal fracture treatments


Question: I recently fractured the neck of my fifth metatarsal.  I doctor was going to put a cast on it but told me that if I stayed completely off of it for a week, I could just wear a boot. A few years ago I broke the fifth metatarsal but further down and was in a cast for 4 weeks and a walking boot for 3.  What is the difference and is a week enough for a break to heal to start walking on it? Also, what can I do to prevent from breaking the fifth metatarsal bone again?  The first time I broke one, I stepped on a rock while running and the other I was tripping and caught myself. Thank you so much for your time!
Answer: Dear L,
This Chicago Podiatrist located in West Loop 60661,Roscoe Village 60618,Elmhurst 60126 & Bartlett 60103 says…
Treatment for 5th metatarsal fractures is determined by the stability of the fracture.
If the fracture at the neck is partial & stable-and you are a good patient(always wearing the boot to keep ALL pressure off the 5th metatarsal head)-then it is possible.
A fracture at the base involves the pull of the peronius longus tendon-which will pull at the fracture site-more difficult to get total immobilization with a cast boot versus a cast. Sometimes these require internal fixation.
Lack of movement at any fracture speeds up healing.Hope This Helps!
Good Luck!
The podiatrists of are specialists in foot & ankle pain.
We are located in Chicago & Elmhurst

Dr George Tsatsos & Svetlana Zats
Podiatrist Chicago 60618 & Elmhurst 60126 Podiatrists
Board Certified in Foot and Ankle Surgery & Orthopedics
New South Loop Location-Chicago 60661


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