Metatarsal fracture

Question 1

I and V

Answer 1

mostly torsion trauma

Question 2

II-IV

Answer 2

direct trauma

Question 3

If basis metatarsal fracture

Answer 3

think of Lisfranc !

Question 4

V Avulsion of peroneus brevis (zone I)

Answer 4

Dancer’s fracture (pseudo-jones)
conservative
protected weight bearing

Question 5

V True jones (zone II)

Answer 5

Conservative : non weight bearing short leg cast for 6-8 weeks
Operative : athletes and workers (minimize nonunion)
4.5 mm spongiosa screw

Question 6

V Proximal diaphysis (zone III)

Answer 6

Conservative : non weight bearing short leg cast for 6-8 weeks
Operative : athletes and workers (minimize nonunion)
4.5 mm spongiosa screw

Question 7

I or V operative if

Answer 7

displaced

Question 8

II-IV operative if

Answer 8

> 10° or 3-4 mm sagital

Question 9

Toe operative if

Answer 9

displaced
intra-articular P1
+/- P1 transverse