Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
trauma topic hub

Metatarsal & Phalangeal Fractures

1st metatarsal fractures affect medial column; greater functional impact. 5th metatarsal: distinguish avulsion (zone 1), Jones (zone 2), and diaphyseal stress (zone 3). Multiple metatarsals/malalignment → operative fixation to restore parabola. Toe phalangeal fractures usually non-op; intra‑articular big toe injuries may need fixation. Athletes with Jones/stress fractures often benefit from early fixation.

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1st metatarsal fractures affect medial column; greater functional impact. 5th metatarsal: distinguish avulsion (zone 1), Jones (zone 2), and diaphyseal stress (zone 3). Multiple metatarsals/malalignment → operative fixation to restore parabola. Toe phalangeal fractures usually non-op; intra‑articular big toe injuries may need fixation. Athletes with Jones/stress fractures often benefit from early fixation.
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Question 1

Which metatarsal fracture is most commonly associated with a high risk of nonunion?

Question 2

What is the recommended initial management for an avulsion fracture of the 5th metatarsal (Zone 1)?

Question 3

In the context of metatarsal fractures, what does the term 'dancer fracture' refer to?

Question 4

Which of the following best describes the appropriate management for a displaced fracture of the 1st metatarsal?

Question 5

What is the primary concern when managing a fracture at the base of the 1st metatarsal?

Question 6

In athletes, what is the benefit of early fixation for a Jones fracture?

Question 7

What is the most common site for phalangeal fractures?

Question 8

Which metatarsal is considered the keystone of the transverse arch?

Question 9

What is the typical treatment for a stress fracture of the 5th metatarsal (Zone 3)?

Question 10

What is a potential complication of malunion of the 1st metatarsal fracture?