![]() ![]() A 37-year-old woman fractured her fifth metatarsal base, with a stable fracture type. The foot and ankle surgeon will determine the type of procedure that is best suited to the individual patient.In China, the stable type of fifth metatarsal base fracture is usually treated by rehabilitation methods after the limbs have been fixed for approximately 4 weeks. If the injury involves a displaced bone, multiple breaks or has failed to adequately heal, surgery may be required. Bone stimulation, most commonly used for Jones fractures, may be used as part of the treatment or following an inadequate response to immobilization. A pain-free external device is used to speed the healing of some fractures. Crutches may also be needed to avoid placing weight on the injured foot. Depending on the severity of the injury, the foot is kept immobile with a cast, cast boot or stiff-soled shoe. The foot and ankle surgeon may use one of these nonsurgical options for treatment of a fifth metatarsal fracture: Elevation: The foot should be raised slightly above the level of your heart to reduce swelling.Compression: An elastic wrap should be used to control swelling.Use ice for 20 minutes and then wait at least 40 minutes before icing again. Ice: Apply an ice pack to the injured area, placing a thin towel between the ice and the skin. ![]() Until you are able to see a foot and ankle surgeon, the RICE method of care should be performed: Because a Jones fracture sometimes does not show up on initial x-rays, additional imaging studies may be needed. The foot will be examined, with the doctor gently pressing on different areas of the foot to determine where there is pain. To arrive at a diagnosis, the surgeon will ask how the injury occurred or when the pain started.
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