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Metatarsal fractures account for almost 50% of all foot fractures; the most frequent trauma mechanism for central metatarsal fractures is direct trauma. Care should be taken when evaluating patients with higher energy accidents, as they are often associated with serious soft-tissue damage and adjacent joint injuries, such as Lisfranc injuries. Malunions on the axial plane (varus/valgus) are usually better tolerated than the ones on the coronal plane, especially plantar flexion deformity. The treatment aim is to reduce the pain and improve gait function. The aim of this article is to discuss the lateral metatarsal malunion related to trauma.
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http://dx.doi.org/10.1016/j.fcl.2024.04.003 | DOI Listing |
J Foot Ankle Surg
September 2025
Department of Orthopedic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Treatment of ankle and foot fractures in patients with diabetes mellitus (DM) is challenging, and complications may arise. Although much data exists on complication rates in tibial, fibular, and malleolar fractures, there exists a comparable lack of data on complication rates in fractures of the tarsal, metatarsal, and phalanx bones of the foot. Therefore, we aimed to compare post-procedural outcomes after such fractures in diabetic vs non-diabetic patients.
View Article and Find Full Text PDFJ Am Podiatr Med Assoc
April 2025
*Veterans Affairs Puget Sound Health Care System, 1660 South Columbian Way, Seattle, WA 98108.
The management of fractures in diabetic patients poses unique challenges, particularly due to complications such as neuropathy, poor bone quality, and impaired healing. This case study explores the nonoperative management of multiple displaced metatarsal fractures in a 61-year-old male with type 2 diabetes and neuropathy. The patient presented with swelling and minimal pain in the right foot without a clear history of acute injury.
View Article and Find Full Text PDFFoot Ankle Clin
March 2025
Departamento de Ortopedia e Traumatologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo, R. Dr. Ovídio Pires de Campos, 333, São Paulo 05403-010, Brazil.
Metatarsal fractures account for almost 50% of all foot fractures; the most frequent trauma mechanism for central metatarsal fractures is direct trauma. Care should be taken when evaluating patients with higher energy accidents, as they are often associated with serious soft-tissue damage and adjacent joint injuries, such as Lisfranc injuries. Malunions on the axial plane (varus/valgus) are usually better tolerated than the ones on the coronal plane, especially plantar flexion deformity.
View Article and Find Full Text PDFOrthop Traumatol Surg Res
February 2025
Clinique Universitaire du Sport, CHU-Toulouse, Orthopédie-Traumatologie, Hôpital Pierre-Paul Riquet, Paul Riquet, Place Baylac, 31059 Toulouse Cedex-9, France. Electronic address:
Metatarsal fractures are frequent, at one-third of all fractures in the foot. The present study reviews the field, addressing 4 questions. Isolated or associated, benign but, in case of crush injury, sometimes severe, prognosis varies and sequelae can be serious.
View Article and Find Full Text PDFClin Podiatr Med Surg
January 2025
1322 Route 72, Suite 3, Manahawkin, NJ 08050, USA. Electronic address:
Complex forefoot deformities are challenging to treat and are labor intensive for the surgeon and the patient. New minimally invasive surgery (MIS) shows great potential and in some instances outperforms traditional open surgery. Another advantage MIS has is that it is technically easier to perform (once proficient) and produces less pain and recovery for the patient.
View Article and Find Full Text PDF