How are foot fractures treated in the emergency department (ED)?

Updated: Sep 23, 2018
  • Author: Robert Silbergleit, MD; Chief Editor: Trevor John Mills, MD, MPH  more...
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Answer

Immediate care includes icing, immobilizing, and elevating the foot and providing analgesia to all patients with significant foot fractures. [24]

Patients with forefoot fractures frequently also have associated soft tissue damage, which may necessitate external fixation. [10]

Options for initial immobilization include the following:

  • Posterior or stirrup splints

  • Reinforced bulky dressing, also termed Jones splint, which consists of a web roll and an elastic compression bandage

  • Rigid, flat-bottom orthopedic shoe also termed postop or Reece shoe

  • Definitive immobilization often requires application of a cylindrical cast, applied during the acute phase (and often bivalved to accommodate further swelling) or after a few days when edema has begun to decrease.


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