![]() ![]() X Try to stop using the boot and to walk without crutches. Start your exercises straight away to maintain and improve your movement. It is ok to take the boot off at night and when resting at home and to wash. If supplied, wear the boot for comfort and use crutches when walking. Or, if you are experiencing pain or symptoms, other than at the site of the original injury or surrounding area, please get in touch using the telephone or e-mail details at the top of this letter. If you are worried that you are unable to follow this rehabilitation plan, or have any questions, then please phone the Fracture Care Team for advice. Please do not hesitate to contact us for a further consultation. Still experiencing significant pain and swelling or We do not routinely follow up patients with this type of injury. The boot you have been given is for your comfort only and is not needed to aid fracture healing but will help to settle your symptoms. You may walk on the foot as comfort allows but you may find it easier to walk on your heel in the early stages. The swelling is often worse at the end of the day and elevating your foot will help. This injury normally takes 6 weeks to heal. Use the video or information below to gain a better understanding of your injury and what can be done to maximise your recovery. Nondisplaced or minimally displaced (less than 2 mm) fractures of the lesser toes with less than 25% joint involvement and no angulation or rotation can be managed conservatively with buddy taping or a rigid-sole shoe.This information will guide you through the next 6 weeks of your rehabilitation. The Ottawa Ankle and Foot Rules should be used to help determine whether radiography is needed when evaluating patients with suspected fractures of the proximal fifth metatarsal.Įarly surgical management of a Jones fracture allows for an earlier return to activity than nonsurgical management and should be strongly considered for athletes or other highly active persons. Nondisplaced or minimally displaced (less than 3 mm) fractures of the second to fifth metatarsal shafts with less than 10° of angulation can be treated conservatively with a short leg walking boot, cast shoe, or elastic bandage, with progressive weight bearing as tolerated. The use of musculoskeletal ultrasonography may be considered to diagnose subtle metatarsal fractures. Lesser toe fractures can be treated with buddy taping and a rigid-sole shoe for four to six weeks. Great toe fractures are treated with a short leg walking boot or cast with toe plate for two to three weeks, then a rigid-sole shoe for an additional three to four weeks. A Jones fracture has a higher risk of nonunion and requires at least six to eight weeks in a short leg non–weight-bearing cast healing time can be as long as 10 to 12 weeks. A fifth metatarsal tuberosity avulsion fracture can be treated acutely with a compressive dressing, then the patient can be transitioned to a short leg walking boot for two weeks, with progressive mobility as tolerated after initial immobilization. Proximal fifth metatarsal fractures have different treatments depending on the location of the fracture. Metatarsal shaft fractures are initially treated with a posterior splint and avoidance of weight-bearing activities subsequent treatment consists of a short leg walking cast or boot for four to six weeks. Management is determined by the location of the fracture and its effect on balance and weight bearing. Diagnosis requires radiographic evaluation, although emerging evidence demonstrates that ultrasonography may be just as accurate. Patients typically present with varying signs and symptoms, the most common being pain and trouble with ambulation. They most often involve the metatarsals and toes. Foot fractures are among the most common foot injuries evaluated by primary care physicians. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |