Metatarsal fractures
The foot is a complex structure in the human body, made up of 26 bones, over 30 joints and numerous ligaments that ensure joint stability. Anatomically, the foot is generally divided into three main zones: the forefoot, the midfoot and the hindfoot. The metatarsals are five bones (numbered I to V from the inside to the outside of the foot) that form part of the forefoot, having the essential function of forming the main arches of the foot and supporting its ability to adapt to different terrains. The upper part of the metatarsals articulates with the phalanges that form the toes, while the lower part connects to the midfoot.
Fractures of the metatarsals are unfortunately common and are usually caused by direct trauma to the forefoot, such as dropping heavy objects onto the foot. Low-energy traumatic injuries are also possible, and usually occur as a result of repeated stress on the metatarsals (stress fractures) or a twisting movement on a fixed forefoot (more common in multidirectional sports).
Patients with this type of injury often complain of forefoot pain, swelling, bruising, possible deformity (depending on the severity of the fracture) and reduced ability to bear body weight. Depending on the clinical presentation and the specifics of the injury, fractures can be classified as follows.
Non-surgical management is recommended for minor injuries, usually non-displaced minor fractures. Treatment, often guided by imaging studies (X-ray or CT scan), includes reduction and immobilization of the injured area. A cast or boot is usually prescribed, accompanied by the use of crutches to take the weight off the joint for 4 to 6 weeks, depending on the severity of the injury. After this period of immobilization, rehabilitation is generally undertaken to facilitate recovery of mobility, improve joint stability, increase muscle strength, optimize quality of movement and, finally, enable a return to performance. At Foxphsio, after an initial consultation with one of our specialist doctors, your recovery plan will take place in four different environments: swimming pool, gym, movement analysis and re-training room, and finally field rehabilitation, in order to achieve maximum functional recovery and prevent relapses.