![]() ![]() Hard-Soled Shoe Versus Short Leg Cast for a Fifth Metatarsal Base Avulsion Fracture: A Multicenter, Noninferiority, Randomized Controlled Trial. Our orthopedic group recommends immediate use of a walking boot for these fractures, which is nice. This would be faster for providers and, most importantly, seems to be more patient centered. obesity, diabetes, concurrent lower-extremity injury, open or pathologic fractures), this opens the door for future studies for possible immediate treatment with hard-soled shoe. While several key types of patients were excluded (i.e. Patient satisfaction was similar between groups. When nonoperative management is utilized improved early functional scores are associated with less rigid immobilization and a shorter period of nonweightbearing. Providers can treat your broken bone with a cast, boot or shoe or with surgery. These fractures occur from injury, overuse or high arches. A secondary outcome, return to pre-injury activity (days), was significantly reduced in the hard-soled shoe group (37.2 ± 14.4 vs 43.0 ± 11.1, p = 0.04). Core tip: Nondisplaced fifth metatarsal fractures can be treated nonoperatively depending on fracture location and patient factors. A fifth metatarsal fracture is a common injury where the bone connecting your ankle to your little toe breaks. The absolute difference comparing the hard-soled shoe group to the short leg cast was -1.3 mm (95% CI -4.3 to 1.8mm, 8.6 ± 7.0 mm vs 9.8 ± 7.3 mm). Primary outcome was mean difference in the 100-mm Visual Analogue Score (a validated pain score) at 6 months after the fracture. ![]() At a 1-week follow up appointment, participants were prospectively randomized to either treatment with a hard-soled shoe or short leg cast, with both groups having weight bearing as tolerated restriction. These hard-soled shoes were made for walkin’…ħ8 patients (aged 18-65) with 5th metatarsal zone 1 tuberosity avulsion, comminuted, or displaced fractures were placed in a short leg posterior splint after initial ED or outpatient clinic visit. If we can increase function while injured, and reduce time to recovery, that would be an optimal treatment plan. Optimizing treatment for these common injuries should be patient and outcome centered. The 5th metatarsal base avulsion fracture is a common foot injury. Patients treated with hard-soled shoe also had reduced time to return to pre-injury activity. In patients with 5th metatarsal base avulsion fractures, pain at 6 months after treatment with a hard-soled shoe and weight bearing as tolerated was non-inferior to a short-leg cast. This article was about 5th MT base avulsion fractures. There was confusion (mostly with me – Clay Smith, who edited this post) about the definition of a dancer’s fracture. Editor’s note: This post was modified 31 January 2021. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |