We hypothesized that the 100mm visual analogue scale (VAS) assessed on 6 months after a fifth metatarsal avulsion fracture treated with protected weightbearing in a hard-soled shoe is not inferior to protected weightbearing in a short leg walking cast but is superior to short leg walking cast with respect to time to return to normal daily life and patient's satisfaction. However, we decided to compare results of hard-soled shoe and short leg walking cast for the treatment of a fifth metatarsal avulsion fracture. However, this was not a randomized controlled trial.ĭevices such as air-cast walking boot, plaster slipper, or Jone's dressing can also be used for the treatment. compared the results of hard-soled shoe and walking cast for a fifth metatarsal avulsion fracture and reported that all avulsion fractures healed uneventfully and that the results were similar between the two. However, studies using hard-sole shoe for protected weightbearing and allowing motion of the ankle joint had successful results. However, early motion of the ankle joint may have the risk of displacement of the fifth metatarsal avulsion fractures. Several papers reported that early rehabilitation may decrease ankle stiffness, muscle and bone atrophy, and aids in early return to activities. Symptomatic care consisting of protected weightbearing in a hard-soled shoe, air-cast walking boot, or below-knee walking cast have been successful. Why Should I Register and Submit Results?įifth metatarsal avulsion fractures are common and can usually be treated conservatively.
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