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DP radiograph - The medial border of the base of the 2nd metatarsal should be in line with the medial border of the middle cuneiform. Oblique radiograph - The medial border of the base of the 3rd metatarsal should be in line with the medial border of the lateral cuneiform.
Jones fracture - refers to a transverse fracture of the proximal shaft of the 5th metatarsal.
Radiographic findings not evident initially, however approx.10 days later a transverse radiolucency indicates the site of fracture followed by periosteal reaction and fluffy callus formation indicating healing.
Avulsion fractures of the dorsal surface of the navicular and head of talus are common and often missed. Avulsion of the anterior process of the calcaneum by the bifurcate ligament is relatively common but can be subtle, resulting from an inversion injury. Refers to fractures at the base of the metatarsals (usually the 2nd) accompanied by lateral subluxation at the tarso-metatarsal joints.
May be subtle, however, by observing the alignment at the base of the 2nd and 3rd metatarsals with the adjacent cuneiforms, this significant injury should not be missed. Disruption of the talo-navicular and calcaneo-cuboid joints, with medial or lateral dislocation of the foot.
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A party full of post-game links and coverage to give you every over-analyzed angle in hopes of making your Blazers IQ that much greater. Last season, Lucas underwent a series of tests trying to find out why he was losing weight and was so fatigued.
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On a positive note for Warriors' fans, you have beaten the Blazers in Oakland at least 15,689 times in a row. And if you ever wondered what a "5th metatarsal fracture" looks like, we've got you covered. A metatarsal fracture is a condition characterized by a break in one of the long bones of the mid foot known as the metatarsals (figure 1). The foot comprises of many small bones, 5 of which are the long bones known as the metatarsals which are situated beside each other in the mid section of the foot.
During certain activities such as landing from a jump, or when rolling an ankle, stress is placed on the metatarsal bones. Often a metatarsal fracture occurs in combination with other injuries such as a sprained ankle or other fractures of the foot, ankle or lower leg (such as following trauma). Metatarsal fractures can vary in location, severity and type including avulsion fracture, stress fracture, Jones' fracture, displaced fracture, un-displaced fracture, spiral fracture, greenstick, comminuted etc. A metatarsal fracture commonly occurs in association with a rolled ankle, particularly when the ankle has rolled inwards, and when significant weight bearing forces are involved. Patients with this condition typically experience a sudden onset of sharp, intense foot or ankle pain at the time of injury.
Patients with a metatarsal fracture may also experience swelling, bruising and pain on firmly touching the affected region of bone. A thorough subjective and objective examination from a physiotherapist is essential to assist with diagnosis of a metatarsal fracture.


Evaluation of the fracture with follow up X-rays is important to ensure the fracture is healing in an ideal position. Ignoring symptoms or adopting a 'no pain, no gain' attitude is likely to cause further damage and may slow healing or prevent healing of the metatarsal fracture all together.
Patients with a metatarsal fracture should perform pain-free flexibility, strengthening and balance exercises as part of their rehabilitation to ensure an optimal outcome. In the final stages of rehabilitation, a gradual return to activity or sport can occur as guided by the treating physiotherapist provided there is no increase in symptoms. Patients with a metatarsal fracture usually make a full recovery with appropriate management (whether surgical or conservative). Physiotherapy treatment is vital in all patients with this condition to hasten healing and ensure an optimal outcome.
Despite appropriate physiotherapy management, some patients with this condition do not improve adequately and may require other intervention. The following exercises are commonly prescribed to patients with a metatarsal fracture following confirmation that the fracture has healed or that pain free mobilization can commence as directed by the surgeon or physiotherapist. Move your foot and ankle up and down as far as possible and comfortable without pain (figure 2). Move your foot and ankle in and out as far as possible and comfortable without pain (figure 3). Move your foot and ankle in a circle as large as possible and comfortable without pain (figure 4). To purchase physiotherapy products for a metatarsal fracture click on one of the above links or visit the PhysioAdvisor Shop.
There is overlap of the lateral metatarsal bases and tarsal bones (cuboid and lateral cuneiform). Has a poorer prognosis and different treatment to avulsion fractures (requires non-weight bearing).
This should not be mistaken for a fracture, by observing that the apophysis lies longitudinal to the long axis of the metatarsal. In-game activities will pit Ducks and Beavers fans together in contests and on big screen features.
By the spring, he had been diagnosed with bladder cancer and in April, a month after his 57th birthday, he had surgery related to bladder cancer. He scored in double figures four times and led Portland’s bench in scoring on five occasions.
When this stress is traumatic and beyond what the bones can withstand a break in one or more of the metatarsals may occur. They may also occur due to an awkward landing from a jump (particularly on uneven surfaces), due to a fall or following a direct blow to the foot. Pain may also increase during certain movements of the foot or ankle or when standing or walking (particularly up hills or on uneven surfaces).
Once healing is confirmed, rehabilitation can progress as guided by the treating physiotherapist.
Activities which place large amounts of stress through the metatarsal should also be avoided, particularly excessive weight bearing activity such as running, jumping, standing or walking excessively (especially up hills or on uneven surfaces). This is particularly important, as balance, soft tissue flexibility and strength are quickly lost with inactivity. The use of a protective brace or strapping tape may be indicated to provide additional stability to the ankle during this phase of rehabilitation and as an ongoing form of injury prevention.


Return to activity or sport can usually take place in weeks to months and should be guided by the treating physiotherapist and specialist. The treating physiotherapist or doctor can advise on the best course of management when this is the case. You should discuss the suitability of these exercises with your physiotherapist prior to beginning them. Should not be misinterpreted as fractures; refer to Keats Atlas of Normal Variants if unsure. This differs from an epiphysis which is located adjacent to a joint and does contribute to longitudinal growth. Following the game, all participating fans will be led down to the court to shoot a free throw. Throughout April and the team’s playoff series, he maintained contact with the players through text messaging, often times relaying congratulations or advice immediately following games.
Metatarsal fractures are relatively common in running and jumping sports involving change of direction such as football, soccer, rugby, basketball and netball and in dancing (e.g. The pain often causes the patient to limp or be unable to weight bear so as to protect the foot.
In severe metatarsal fractures (with bony displacement), an obvious deformity may be noticeable. Further investigations such as an MRI, CT scan or bone scan may be required, in some cases, to assist with diagnosis and assess the severity of the injury. Rest from aggravating activities allows the healing process to take place in the absence of further damage.
The treating physiotherapist can advise which exercises are most appropriate for the patient and when they can commence. In patients with severe injuries involving damage to other bones, soft tissue, nerves or blood vessels, recovery time may be significantly prolonged.
This may include further investigations such as X-rays, CT scan, MRI or bone scan, periods of plaster cast immobilization or referral to appropriate medical authorities who can advise on any intervention that may be appropriate to improve the metatarsal fracture. Generally, they should be performed 3 times daily and only provided they do not cause or increase symptoms. Pain is usually felt in the foot or ankle and can occasionally settle quickly leaving patients with an ache at the site of injury that may be particularly prominent at night or first thing in the morning.
Once the patient can perform these activities pain free, a gradual return to these activities and weight bearing forces is indicated provided there is no increase in symptoms. In patients with only very minor fractures that are un-displaced (such as an avulsion fracture) return to sport can sometimes occur in as little as 6 - 8 weeks as guided by the treating physiotherapist. A metatarsal stress fracture may occur due to repetitive stress associated with excessive running or overuse. This should take place over a period of weeks to months with direction from the treating physiotherapist.




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