In rare occasions, manipulation of the bone to reposition them. If radiography reveals a normal position seven to 10 days after injury, progressive weight bearing may be started, and the cast may be removed three to four weeks later. If the fractured metatarsals are in an acceptable position, they can be treated without surgery. Nondisplaced fractures of the proximal portion of metatarsals 1 through 4 can be managed acutely with a posterior splint followed by a molded, non-weight-bearing, short leg cast. Treatment of fractures distal to the tuberosity should be individualized based on the characteristics of the fracture and patient preference. Radiographs should be carefully examined to distinguish these fractures from tuberosity fractures. Proximal fifth metatarsal fractures that are distal to the tuberosity have a poorer prognosis. 28485 Open treatment of metatarsal fracture, includes internal fixation, when performed, each 28505 Open treatment of fracture, great toe, phalanx or. ![]() Avulsion fractures of the proximal fifth metatarsal tuberosity can usually be managed with a soft dressing. 27828 Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed of both tibia and fibula. Stress fractures of the first to fourth metatarsal shafts typically heal well with rest alone and usually do not require immobilization. Nondisplaced fractures of the metatarsal shaft usually require only a soft dressing followed by a firm, supportive shoe and progressive weight bearing. Injuries to this ligament require referral or specific treatment based on severity. If the midfoot is injured, care should be taken to evaluate the Lisfranc ligament. Referral is generally indicated for intra-articular or displaced metatarsal fractures, as well as most fractures that involve the first metatarsal or multiple metatarsals. ![]() The fracture should then be characterized and treatment initiated. An impact injury, such as a fall or blow to the hand, is usually the cause of a metacarpal fracture. A metacarpal fracture affects one or more of the five metacarpal bones that run from the wrist ( carpal ) bones to the knuckles. A fractured (broken) metacarpal is a common injury of the hand. Initial evaluation should focus on identifying any conditions that require emergent referral, such as neurovascular compromise and open fractures. A break of the bones between the wrist and knuckles. Patients with metatarsal fractures often present to primary care settings.
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