met & sesamoid fractures

Question 1

metatarsal head/neck fractures

Answer 1

metaphyseal

- intra-articular vs non-articular

Question 2

met shaft fractures

Answer 2

diaphyseal

Question 3

met base fractures

Answer 3

metaphyseal
- intra vs non-articular
JONES fractures

Question 4

metatarsal fracture order of frequency

Answer 4

5 - 3,2,1 - 4

Question 5

swelling could be a sign of ____ with crush MOI

Answer 5

compartment syndrome

Question 6

usually confirms diagnosis

Answer 6

radiographs

Question 7

assess fracture in these three planes on radiographs

Answer 7

frontal
sagittal
transverse

Question 8

most important plane for radiograph diagnosis of met fractures

Answer 8

sagittal

Question 9

order a CT scan for

Answer 9

met base fractures (tarsometatarsal joint)
intra-articular fractures
surgical planning for complex fractures (displaced and comminuted)

Question 10

order a bone scan for

Answer 10

stress fractures

Question 11

MOI of met head fractures

Answer 11

direct trauma of impaction

Question 12

met head fractures are often

Answer 12

transverse fractures

Question 13

MOI of met neck fractures

Answer 13

shearing force or direct trauma

Question 14

met neck fractures are often ____ and can be _____ or _____

Answer 14

displaced

oblique or transverse

Question 15

often many metatarsals involved

Answer 15

met neck fractures

vassal principle

Question 16

MOI of met shaft fractures

Answer 16

direct trauma, blunt force, and torsional injuries (spiral)

Question 17

usually oblique, transverse (stress), spiral and comminuted fractures noted
multiple metatarsals noted (direct and blunt trauma)

Answer 17

met shaft fractures

Question 18

result of direct trauma

• MVA, fall
• often associated with tarsometatarsal fractures-dislocation (except 5th toe)
• often need CT

Answer 18

met base fractures

Question 19

order what images for a met base fracture?

Answer 19

x-ray and CT (CT most important)