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Question about fifth metatarsal fracture

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Joined: 05 Feb 2013
Posts: 1

PostPosted: Tue Feb 05, 2013 1:33 am    Post subject: Question about fifth metatarsal fracture Reply with quote

I sustained my injury July 2, 2012. I ran down stairs a twisted my ankle. I was told it was a fifth metatarsal avulsion, but after 7 months and I still find that I favor that foot.. I have pain when pressure is applied and numbness in my toes. My orthopedic surgeon told me no cast and to just weight bear as tolerated. My question is if I could have possibly suffered a jones fracture and that is the reason for the slow healing time. Oh. Yeah. And every six weeks that I continued to go back for rechecks, we seen no improvement in the X-ray. [/img]
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Dr Foot
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Joined: 01 Apr 2005
Posts: 679

PostPosted: Tue Mar 05, 2013 10:07 am    Post subject: Reply with quote

A 5th metatarsal fracture commonly occurs in association with a rolled ankle, particularly when the ankle has rolled inwards and when significant weight bearing forces are involved. They may also occur due to an awkward landing from a jump (particularly on uneven surfaces), due to a fall or following a direct blow to the outer foot. 5th metatarsal fractures are common in running and jumping sports involving change of direction.

Patients with a fractured 5th metatarsal usually make a full recovery with appropriate management (whether surgical or conservative). Return to activity or sport can usually take place in weeks to months and should be guided by the treating physiotherapist and specialist. In patients with severe injuries involving damage to other bones, soft tissue, nerves or blood vessels, recovery time may be significantly prolonged. In patients with only very minor fractures that are un-displaced (such as an avulsion fracture) return to sport can sometimes occur in as little as 6 - 8 weeks as guided by the treating physiotherapist. However in your case its been 7 months which suggests you have other issues which is preventing recovery. In a nonunion, the two edges of bone separated by the fracture line fail to join. Most fractures require between six and 12 weeks healing time. A fracture is considered a nonunion if it has not fully healed in six to nine months after injury.

The causes of the non union could be inadequate fracture immobilization, infection, poor nutrition, smoking, excessive alcohol consumption, diabetes mellitus or Obesity. Also poor circulation can lead to non union. Also some types of fractures take longer to heal such as compound fractures.
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Sia Tanhai

Joined: 08 Nov 2013
Posts: 1

PostPosted: Fri Nov 08, 2013 12:39 pm    Post subject: 5th metatarsal fracture (Jones Fracture I think) Reply with quote

Hi Guys,

I was looking for some people ot share advice/experience. A month ago I fractured my 5th metatarsal (what was believed due to shooting pains to have originated from an underlying stress fracture). I have been told for someone of my age (23) the expected healing tiem is 6-8 weeks.

Right, a month from the break i can walk without unaided (no boot or crutches) around the house no problem, which led me to believe I must be in line for a 6 week return overall (2 more weeks on top of my month). AFter going to my appointment the xray shows the crack is still there (improved slightly but still clearly present) and have been since told to keep the boot on for a further 6 weeks (that will be 10 in total!!!).

Has anyone else had this injury, and has anyone had similar experiences (walking unaided after a month even with crack shown in foot by xray).
My physio reccomended scheduling appointment in another month (8 weeks from break).

Just wondering what healing times, and what point people like me could walk unaided, please share experiences, would be helpful and kind of comforting I hope.
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