How to Properly Examine a Suspected Metatarsal Fracture
How to Properly Examine a Suspected Metatarsal Fracture
Step-by-Step Guide
When a metatarsal fracture is suspected, a thorough examination can prevent complications. Here's how to examine effectively.
Contents
- Initial Inspection
- Palpation Technique
- Neurovascular Examination
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.
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.
FAQs
What should you look for initially?
Check for skin damage and open wounds.
How do you locate the fracture?
Use palpation and check for point tenderness.
Is a neurovascular exam necessary?
Yes, to rule out nerve or vascular injury.
Wrapping Up
A comprehensive examination is crucial to manage a suspected metatarsal fracture effectively.
Additional References
- Saraiya MJ. First metatarsal fractures. Clin Podiatr Med Surg 1995; 12:749.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.