Base Fractures

METATARSAL BASE FRACTURES

Base fractures occur at the part of the metatarsal closest to the ankle that can happen at any of the metatarsals and occurs depending on the type of injury to the foot.  Can involve a singular metatarsal or multiple metatarsals.  The pain on the position of the foot during the injury and the force of impact.

Metatarsal base fractures can be displaced or nondisplaced typically the displacement, will determine whether or not a base fracture needs to be surgically repaired in order to assure appropriate outcomes.  Metatarsal base fractures, especially at the first second and third metatarsals are the more crucial in that the support of the middle the foot for weightbearing and ambulation is dependent upon the structural integrity of these metatarsals.

Before and after metatarsal base fracture

 

 

Non-Union 5th Metatarsal Base Fracture Treated with Removal of Fracture Fragment and Anchoring of Peroneus Brevis

Series of Pics demonstrating Progression of 4th metatarsal stress fracture (circled area)

As time goes on, fracture callus is laid down to heal the stress fracture.