The metatarsal head remains in the appropriate location for weight bearing.Ī high-energy injury, with disruption of the stabilizing soft tissues proximally or distally, will elevate or depress the metatarsal head. The intact soft tissues splint the fracture.Ī low-energy metatarsal shaft fracture typically does not disrupt proximal or distal stabilizing soft tissue structures. The metatarsals are affected by stress fractures more commonly than all other sites in the body.Ī majority of metatarsal fractures are low-energy injuries suitable for closed treatment. The 5th metatarsal is the most frequently fractured metatarsal (23%). She's going on a school field trip to the zoo on Wednesday and I'm wondering if I should call ahead and reserve her a wheelchair.Toe and metatarsal fractures are the most common fractures of the foot with an incidence of 140 per 100,000 per year. ![]() She can't put as much weight on her hands as she should because of the splint. She always wants to be up and moving around, even on the crutches, and her arm pits and sides are very irritated by the crutches. I'm sure that every gymnast is like this, but sitting still is NOT one of DD's strong suits. Quite frankly, I am most concerned about how to keep her spirits up through all of this. HC is VERY careful about injuries, so I'm not worried that she will get pushed into anything she shouldn't be doing. GS, I will look into the Symphytum Officinale. Yesterday the doctor didn't see anything on the xray of her finger, but today ortho saw what he thought might be a bone chip, so she's also in a splint for two weeks, which makes maneuvering on crutches even harder. Had to cancel her late-June gymnastics camp as well as the long-weekend family trip we were planning on going on this weekend (lots of walking, and she still needs to use crutches for a couple of weeks). Also a few years back, my dd had a Jones' fracture (high risk 5th metatarsal fracture that is based on the location of the fracture), so we have had our experiences with metatarsal breaks and poor dd has suffered both of the high risk fractures in the same foot (different areas though and a few years apart - go figure!) She also starting taking Symphytum Officinale immediately (homeopathic treatment for fractures that I learned from friends) whenever she drank water. If it was just a 1st metatarsal fracture, I wouldn't of done that and just had her wait out the 3-4 weeks. she came back sooner than expected, but I had bought a bone stimulator and she was using that 3 times a day on the navicular bone. My dd, earlier this season, had a 1st metatarsal fracture and a navicular bone fracture (high-risk fracture). Tell her to do exactly what she is told and she will be fine, if she comes back too soon, she will set back her recovery!! She will probably need PT because of the atrophy that will happen. She will stay strong, if not get stronger and will come back very quick once out of the cast. With cast she can still do basics on bars, bars conditioning and regular conditioning. I think a cast is the best way to go, especially if you have coaches who will have her doing things that she obviously wouldn't be doing with a cast on (I only say this because my dd's coaches would have her out of the boot doing more than she should). ![]() She didn't break it on vault, so it was weird that this was the event most affected, but she was probably afraid of the landings.Ĥth metatarsal should recover fairly quick, about 4 weeks. She claimed it didn't hurt, so not sure if it was more psychological.īy the time of her first meet this season (10 months total but I'm sure she was doing ok by the latter part of the summer) she was completely back to normal. At first you could definitely tell she was favoring her foot during the run for vault. She was not allowed to vault until the week before her first meet back (2 weeks before States). After the boot came off she eased back into working out doing everything but tumbling and vault in the beginning. During the first 4 weeks, nothing weight bearing but she was allowed to condition and do bars (minus the dismount). She was in a boot for 4 weeks, then sneaker. She only cried when the Dr told her no gymnastics for a few weeks. Little Monkey fractured her 5th metatarsal last winter, right in the middle of her season.
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