Metatarsal fractures

Generally nondisplaced metatarsal fractures can be treated nonoperatively. Fracture angulation of more than 10 degrees or fracture displacement of more than 3-4 mm are a valid indication for open or closed reduction. Fractures of the metatarsal bases are often associated with Lisfranc injury. Special attention must be paid to proximal fractures of the fifth metatarsal (avulsion, Jones, proximal diaphyseal fracture). Dislocated midshaft fractures of the first and fifth metatarsals should be treated operatively to realign foot geometry. Subcapital fracture malalignment causes post-traumatic metatarsalgias. Stress and children's fractures are treated most times nonoperatively.