Does a fifth metatarsal fracture need to be immobilized, and can a fifth metatarsal fracture be rate

The 5th metatarsal fracture is generally relatively stable, not easy to displace, as long as it is not weight-bearing, it doesn't matter if you don't put a plaster, the textbook requires that it be fixed, but it can be humanized and not fixed, because there is almost no possibility of fracture non-union here, one of my senior doctors (chief physician professor) encounters such a fracture is absolutely not special treatment, hehe, tell the patient to go back and walk on his heels, I don't agree with this, but I don't need to fix I feel the same. Generally, you will have a follow-up examination and take an image in about 6 weeks, and you can normally carry weight activities under normal circumstances.

If you have to wear a plaster cast for 1 month, it is enough, the external medicine you use should be to invigorate blood and dissolve stasis, or you can not use it, it is not necessary, the most important thing for the healing of fractures is cultivation, supplemented by medicine.

Here is the answer to the Trauma Center of the Third Hospital of Hebei Medical University and Hebei Orthopedic Hospital.

This is a fracture at the base of the fifth metatarsal, obviously displaced, generally like your age, I would recommend you surgery**, after all, you are still young, the activity requirements of the foot are high, if you are not high to the local requirements, you can use manual manipulation under local anesthesia after the swelling subsides in 3-5 days, but due to the soft tissue obstruction, it is impossible to completely dissect the reduction, the related sequelae are mainly 1 The strength of the foot valgus is not enough, resulting in instability on the inside and outside of the foot, resulting in chronic joint degeneration, This may have an impact on you decades from now. 2. The shape of the outer side of the foot is abnormal, which affects the wearing of high heels, which may have a certain impact on you in recent decades.

Deputy Chief Physician of Shanghai Longhua Hospital-Department of Orthopedics and Traumatology-Zhang Ting.

Plaster is the safest method, but it's too bad in the summer, and you can not put a plaster cast in your case, but there is a shadow on the cortex, just be careful not to bear weight. Insist on re-examination, and return in time if there is a problem!

It should be judged according to the specific appraisal results. The determination of work-related injuries of fifth metatarsal fractures can be assessed as grade 10 disability according to the appraisal standards. The amount of compensation for work-related injuries can only be finalized after waiting for the level of labor ability appraisal.

The principle of grading grade 10 disability is that there is a partial defect in the organ, abnormal morphology, no functional impairment, no medical dependence or general medical dependence, and no self-care disorder.

1. How many levels of disability does the right temporal bone fracture belong to**.

Temporal bone fractures are probably classified as grade 9 to 10 disability. Specific Standards: Level 9:

Those with partial organ defects, abnormal morphology, mild dysfunction, no dependence, and can take care of themselves; Grade 10: Partial organ defect, abnormal morphology, no dysfunction, no medical dependence, and self-care; The specific judgment should be based on the appraisal results.

Regulations on Work-related Injury Insurance

Article 30 Employees who are injured in accidents or suffer from occupational diseases due to their work shall enjoy medical treatment for work-related injuries.

Employees who are injured at work shall seek medical treatment in a medical institution that has signed a service agreement, and in case of emergency, they can first go to the nearest medical institution for first aid.

**If the expenses required for work-related injuries meet the requirements of work-related injury insurance diagnosis and treatment items, work-related injury insurance drug lists, and work-related injury insurance hospitalization service standards, they shall be paid from work-related injury insurance**. The catalogue of work-related injury insurance diagnosis and treatment items, the catalogue of work-related injury insurance drugs, and the hospitalization service standards of work-related injury insurance shall be prescribed by the social insurance administrative department in conjunction with the health administrative department, the food and drug supervision and administration department and other departments.

The food subsidy for the hospitalization of the employee for the work-related injury, as well as the transportation, accommodation and accommodation expenses required for the work-related injury employee to seek medical treatment outside the co-ordination area shall be paid from the work-related injury insurance, and the specific standard of payment shall be stipulated by the people of the co-ordination area.

Injured employees are not entitled to medical treatment for work-related injuries and shall be dealt with in accordance with the basic medical insurance measures.

If the work-related injury employee goes to the medical institution that has signed the service agreement to carry out the work-related injury**, if it meets the requirements, it shall be paid from the work-related injury insurance**.

Article 34 If an injured worker has been assessed for disability and has been confirmed by the Labor Ability Appraisal Committee to be in need of daily care, he or she shall be paid a monthly living care allowance from the work-related injury insurance.

The living care expenses are paid according to three different levels: completely unable to take care of themselves, most of them unable to take care of themselves, or part of their lives cannot take care of themselves, and the standards are respectively % or 30% of the average monthly salary of employees in the overall planning area in the previous year.

It is necessary to wait for the fracture to fully grow and heal before the internal fixation can be removed, and how long it will take depends on when the bone will grow well.

Now the western medicine in the hospital focuses on fixation, so after they put the steel plate in the patient's body to fix, they call the patient home to recuperate, so that the bone grows slowly (some fracture patients rest for half a year, and the bone cannot be completely healed for a year or two, you will know it if you search more on the Internet), therefore, it is natural to fix the steel plate on the knife. Because only in this way can we be more sure that the bones can be fixed firmly for such a long time, and most of the steel plates are removed for a year or several years after they are fixed, and some even remain in the body. Such a ** is quite painful for the patient, not to mention the high cost, and he was knifed twice before and after, but it is not sure whether the bone grows well.

When the bone is broken, the key is to connect the bones, and use drugs to promote the rapid growth of new callus in a short period of time to achieve healing, which is the key point, not fixation. No matter how well the bone is fixed, the callus grows slowly is also futile, the fracture of traditional Chinese medicine, if it is not a serious displacement or comminuted fracture, there is no need for surgery at all, only the splint external fixation (in fact, the splint external fixation and the steel plate internal fixation of Western medicine are the same, both play the role of fixing the bone, but the splint fixation will not leave a permanent scar) and then apply the medicine to quickly connect the bone, the pain is basically eliminated in 7 days, and the splint can be removed in 10 days, and it can be cured in about 30 to 40 days. In the early stage of fracture, avoid eating high-calcium and high-protein foods, avoid eating rooster meat, carp, sour bamboo shoots, etc., and use Western medicine with caution, especially hormone-containing drugs, so as not to cause osteonecrosis.

Hu's Orthopedics wishes you a speedy **!

Generally, there is pain after anesthesia on the first day after surgery, but after 24 hours, the pain is not so strong, don't be afraid of pain, it will not be terrible, and the wound will heal quickly after surgery.

Hello, fracture of the base of the fifth metatarsal, the healing process is slow, the early cast must be firmly fixed, and the fracture often takes 3 months to heal.

In view of your current condition, I wonder if your left foot is swollen and swollen, and if you feel pain when you walk on the ground. These are all signs that the fracture is not healing. So you currently have.

You must use crutches, and the affected foot cannot step on the ground. It is best to be able to elevate the affected limb. Your current functional exercises should focus on training methods that avoid muscle atrophy in the lower limbs while not bearing weight.

The first thing to be clear is that you can't do too much weight on your affected limb for three months. Walking must be on crutches. Elevate the affected limb as much as possible above the level of the heart to help the swelling disappear.

A fracture of the 5th metatarsal of the right foot is not a minor injury, but a minor injury.

Criteria for Identification of the Degree of Human Injury" Minor Injury.

a) A wound on a limb or a scar length or more; Two or more wounds or more than the cumulative length of the scar; The puncture wound is deep into the muscular layer.

b) Injuries to joints, tendons or ligaments of the limbs.

c) Bone contusion.

d) Fracture of the foot bone.

e) Loss of toenails and exposure of nail beds due to trauma; Nail bed hemorrhage.

f) Caudal vertebral dislocation.