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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What treatment is suggested for metatarsal bone ingury?

Hi my 10 year old son broke his first metatarsal bone playing footy on the weekend. We were not satisfied with the doctor we saw and was just interested in your opinion. All he said to us was doesn t look like it needs a pin stay off it for two weeks. Nothing about follow up visit to check on it or anything. Should he have some sort of support on it like moon boot or something?
Mon, 6 Jun 2016
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Physical Therapist or Physiotherapist 's  Response
hi,

thank-you for providing the brief history.

Since there is a metatarsal injury it may need an x-ray since the mechanism of injury suggest one. Ass x-ray will help to understand if there is any hairline fracture. If the x-ray turns negative than it will be just a ligament sprain.

Using a ankloid or ankle brace will be good to provide some support to the ankle joint and foot bones. As in most cases of the children if the fracture is hairline or it is only ligament sprain than ankle brace helps to provide additional stability.

Cast or boot is required if there is a visible fracture or else with ankle brace it should be fine. Ankle brace is available from companies like tynor, vissco, etc.

In a child avoiding musculoskeletal injuries are not advised since the child is in the developmental phase and the growth has to occur in the proper physiological and anatomical way.

Regards
Jay Indravadan Patel
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