eMedicine Specialties > Emergency Medicine > Trauma & Orthopedics
Fracture, Foot: Multimedia
Updated: Feb 6, 2009
Multimedia
 | Media file 1: Fractures, foot. Proximal fifth metatarsal avulsion fracture (also termed pseudo-Jones, tennis, or dancer fracture). |
 | Media file 2: Fractures, foot. Jones fracture of the fifth metatarsal. |
 | Media file 3: Fractures, foot. Lisfranc fracture-dislocation. |
 | Media file 4: Fractures, foot. Calcaneal fracture with intraarticular involvement and joint depression. |
 | Media file 5: Fractures, foot. Calcaneal fracture with intraarticular involvement and joint depression with Böehler angle imposed. Reduced angle of 16 degrees is pathologic. |
 | Media file 6: Fractures, foot. Subtle fracture of the first cuneiform at the Lisfranc joint. Another fracture at the base of the first metatarsal is not seen here but was found on subsequent computed tomography. |
 | Media file 7: Fractures, foot. CT scan showing fracture of first cuneiform and proximal first metatarsal. |
 | Media file 8: Fractures, foot. Spiral fracture of the shaft of the fifth metatarsal. This fracture was treated conservatively with immobilization. |
 | Media file 9: Fractures, foot. Minimally displaced fracture of the distal fifth metatarsal. This fracture was treated conservatively with immobilization in a rigid flat bottom shoe. |
 | Media file 10: Fractures, foot. Two fractures of the proximal phalanx of the great toe. The fracture at the base is obvious, but the fracture at the head is more subtle. Make certain to examine every bone on the radiograph to avoid being distracted by obvious finding. |
 | Media file 11: Comminuted navicular fracture in a young drunk driver involved in a motor vehicle crash. The patient sustained no other injuries and was discharged in a plaster splint with strict nonweightbearing. The patient subsequently had a computerized tomography (CT) scan and underwent open reduction and internal fixation 9 days after the injury. A standard anteroposterior (AP) view is shown here. |
 | Media file 12: An added oblique view of this same patient with a navicular fracture was performed in the ED to help verify the absence of other significant fractures. Obtaining views that are not part of the routine foot series can be helpful and should be added when needed. |
More on Fracture, Foot |
| Overview: Fracture, Foot |
| Differential Diagnoses & Workup: Fracture, Foot |
| Treatment & Medication: Fracture, Foot |
| Follow-up: Fracture, Foot |
 Multimedia: Fracture, Foot |
| References |
| « Previous Page |
References
Perry JJ, Stiell IG. Impact of clinical decision rules on clinical care of traumatic injuries to the foot and ankle, knee, cervical spine, and head. Injury. Dec 2006;37(12):1157-65. [Medline].
Pearse EO, Klass B, Bendall SP. The 'ABC' of examining foot radiographs. Ann R Coll Surg Engl. Nov 2005;87(6):449-51. [Medline].
Johnson PT, Fayad LM, Fishman EK. Sixteen-slice CT with volumetric analysis of foot fractures. Emerg Radiol. May 2006;12(4):171-6. [Medline].
Ting AY, Morrison WB, Kavanagh EC. MR imaging of midfoot injury. Magn Reson Imaging Clin N Am. Feb 2008;16(1):105-15, vi. [Medline].
Banal F, Etchepare F, Rouhier B. Ultrasound ability in early diagnosis of stress fracture of metatarsal bone. Ann Rheum Dis. Jul 2006;65(7):977-8. [Medline].
Schnaue-Constantouris EM, Birrer RB, Grisafi PJ. Digital foot trauma: emergency diagnosis and treatment. J Emerg Med. Feb 2002;22(2):163-70. [Medline].
Zenios M, Kim WY, Sampath J. Functional treatment of acute metatarsal fractures: a prospective randomised comparison of management in a cast versus elasticated support bandage. Injury. Jul 2005;36(7):832-5. [Medline].
Fetzer GB, Wright RW. Metatarsal shaft fractures and fractures of the proximal fifth metatarsal. Clin Sports Med. Jan 2006;25(1):139-50, x. [Medline].
Saab M. Lisfranc fracture--dislocation: an easily overlooked injury in the emergency department. Eur J Emerg Med. Jun 2005;12(3):143-6. [Medline].
Haapamaki VV, Kiuru MJ, Koskinen SK. Ankle and foot injuries: analysis of MDCT findings. AJR Am J Roentgenol. Sep 2004;183(3):615-22. [Medline].
Rammelt S, Zwipp H. Talar neck and body fractures. Injury. Apr 23 2008;[Medline].
DiGiovanni CW. Fractures of the navicular. Foot Ankle Clin. Mar 2004;9(1):25-63. [Medline].
Benson E, Conroy C, Hoyt DB, Eastman AB, Pacyna S, Smith J, et al. Calcaneal fractures in occupants involved in severe frontal motor vehicle crashes. Accid Anal Prev. Jul 2007;39(4):794-9. [Medline].
Hahn MP, Richter D, Ostermann PA. [Injury pattern after fall from great height. An analysis of 101 cases]. Unfallchirurg. Dec 1995;98(12):609-13. [Medline].
Knight JR, Gross EA, Bradley GH, Bay C, LoVecchio F. Boehler's angle and the critical angle of Gissane are of limited use in diagnosing calcaneus fractures in the ED. Am J Emerg Med. Jul 2006;24(4):423-7. [Medline].
Prayson MJ, Chen JL, Hampers D. Baseline compartment pressure measurements in isolated lower extremity fractures without clinical compartment syndrome. J Trauma. May 2006;60(5):1037-40. [Medline].
Richter J, Schulze W, Klaas A, Clasbrummel B, Muhr G. Compartment syndrome of the foot: an experimental approach to pressure measurement and release. Arch Orthop Trauma Surg. Feb 2008;128(2):199-204. [Medline].
Further Reading
Keywords
broken foot, toe fracture, broken toe, first metatarsal fracture, internal metatarsal fracture, fifth metatarsal fracture, proximal avulsion fracture, Jones fracture, Jones' fracture, fracture at Lisfranc joint, fracture at tarsometatarsal joint, talar fracture, navicular fractures, calcaneal fractures, March fracture, pseudo-Jones fracture, tennis fracture, posterior process fracture, Shepherd fracture, transchondral talar dome fracture, osteochondral talar dome fracture, intraarticular joint depression fracture, compartment syndrome
