![]() Compartment syndrome threatens limb viability (possibly requiring amputation) and survival. Transverse simple fracture through the diaphysis of the second metatarsal bone with 5mm dorsal displacement of the distal fragment. Three-wire fixation technique for displaced fifth metatarsal base fractures. 1,2 The fracture of the proximal fifth metatarsal is not only owing to the direct injuries in this area, but also to the inverted injuries with plantar flexion. Radiograph showing healing in a nonunion treated with a percutaneous 3.5-mm cortical lag. The fifth metatarsal fractures is one of the most familiar metatarsal fractures, with 6.7 fractures reported for every 10,000 people. Over the long term, it can cause contractures, sensory deficits, and paralysis. Fracture reduction and fixation should be considered if the fracture fragment involves more than 30 of the. Tenting of the skin over a displaced fracture Devitalized skin that may necrose Common fracture findings (e.g., swelling, ecchymosis) Less common fracture findings (e.g., deformity. Untreated compartment syndrome can lead to rhabdomyolysis, hyperkalemia, and infection. In addition to fractures, musculoskeletal injuries include Joint dislocations. Most fractures result from a single, significant force applied to normal bone. Distally, there is the transmetatarsal ligament in the first webspace. (See 'Proximal fifth metatarsal fractures' and 'Stress fractures of the metatarsal. a line drawn down the center of the bone is not continuous. ![]() confusingly there is inconsistent use of the word. known by a couple of other names: 'translocation'. It comes in three main flavors: translation. Proximal fractures of the fifth metatarsal, metatarsal stress fractures, and toe fractures are discussed separately. When describing a fracture, displacement is important to assess and describe. non-displaced or displaced with a fracture-step-off >2 mm 20. Fractures of the metatarsal shaft are discussed below. In contrast, both groups showed the worst outcomes for Type-3 fractures and slower. Risk is high with forearm fractures that involve both the radius and ulna, tibial plateau fractures (proximal tibial fractures that extend into the joint space), or tibial shaft fractures ( 1 Complications references A fracture is a break in a bone. Anatomy First Metatarsal The first metatarsal is larger than the lesser 4 metatarsals. The approach to metatarsal fractures varies according to the location and type of fracture. ![]() Crush injuries or markedly comminuted fractures are a common cause, increasing tissue pressure as edema develops. An avulsion fracture is where a fragment of bone is pulled away at the ligamentous or tendinous attachment. read more : Tissue pressure increases in a closed fascial space, disrupting the vascular supply and reducing tissue perfusion. The earliest symptom is pain out of proportion to the severity of injury. Compartment syndrome Compartment Syndrome Compartment syndrome is increased tissue pressure within a closed fascial space, resulting in tissue ischemia. ![]()
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