How are foot fractures of the first metatarsal treated?

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

The first metatarsal is the least commonly fractured metatarsal. [10] The first metatarsal head bears twice the weight of other metatarsal heads. Treat minimally displaced or nondisplaced fractures with immobilization without weight bearing. Displaced fractures usually require open reduction and internal fixation (see image below).

Fractures, foot. CT scan showing fracture of first Fractures, foot. CT scan showing fracture of first cuneiform and proximal first metatarsal.

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