Orthonotes
Orthonotes
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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.