How to Properly Examine a Suspected Metatarsal Fracture

Published: Oct 08, 2023

When a metatarsal fracture is suspected, a thorough examination can prevent complications. Here's how to examine effectively.

Initial Inspection

Start by inspecting the foot for any visible wounds or skin damage. If there is any injury near the fracture site, treat it as an open fracture until proven otherwise. Look for signs of necrosis, particularly after crush injuries.

Palpation Technique

Sequentially palpate each metatarsal to identify the fracture site. Point tenderness is commonly present at the site of the fracture. If swelling obscures the fracture, apply axial load to differentiate between fractures and soft tissue injuries.

A step-by-step guide to examining a suspected metatarsal fracture, including initial inspection, palpation technique, and effective management strategies.

Neurovascular Examination

Perform a neurovascular exam to rule out nerve or vascular damage. This is uncommon without significant trauma, but essential to document in all suspected cases.

Frequently Asked Questions

Check for skin damage and open wounds.

Use palpation and check for point tenderness.

Yes, to rule out nerve or vascular injury.

Key Takeaways

A comprehensive examination is crucial to manage a suspected metatarsal fracture effectively.

Next steps: Talk to Doctronic for further guidance on foot injuries!

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References

Saraiya MJ. First metatarsal fractures. Clin Podiatr Med Surg 1995; 12:749.

Always discuss health information with your healthcare provider.