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Metatarsbrudd

Sist revidert:
Sist revidert av:


Definisjon:
Fraktur av metatars (mellomfotsben)
Forekomst:
Er en av de vanligste frakturene og utgjør 5-6% av alle brudd i primærhelsetjenesten
Symptomer:
Smerte og hevelse over metatarsene. Stressbrudd debuterer gjerne etter langvarig repeterende aktivitet eller etter en brå økning i aktivitet
Funn:
Hevelse og palpasjonsforverret smerte lokalisert til metatarsene
Diagnostikk:
Røntgen
Behandling:
Bruddbehandlingen avhenger av typen brudd. Tilhelte feilstillinger gir ofte betydelige plager og må unngås. Tretthetsbrudd behandles med avlastning i 3-4 uker
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  2. Rajiah P. Metatarsal fracture imaging. Medscape, last updated Dec 28, 2015. http://emedicine.medscape.com/article/399372-overview
  3. Fetzer GB, Wright RW. Metatarsal shaft fractures and fractures of the proximal fifth metatarsal. Clin Sports Med. 2006 Jan. 25(1):139-50, x.
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  5. Dean BJ, Kothari A, Uppal H, Kankate R. The jones fracture classification, management, outcome, and complications: a systematic review. Foot Ankle Spec. 2012 Aug. 5 (4):256-9.
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  10. Ekinci S, Polat O, Günalp M, Demirkan A, Koca A. The accuracy of ultrasound evaluation in foot and ankle trauma. Am J Emerg Med. 2013;31(11):1551–1555.
  11. Zwitser EW, Breederveld RS. Fractures of the fifth metatarsal; diagnosis and treatment. Injury. 2010 Jun. 41(6):555-62.
  12. Zenios M, Kim WY, Sampath J, Muddu BN. Functional treatment of acute metatarsal fractures: a prospective randomised comparison of management in a cast versus elasticated support bandage. Injury 2005; 36: 832-5. PubMed  
  13. Smith TO, Clark A, Hing CB. Interventions for treating proximal fifth metatarsal fractures in adults: a meta-analysis of the current evidence-base. Foot Ankle Surg. 2011;17(4):300–307.
  14. Thevendran G, Deol RS, Calder JD. Fifth metatarsal fractures in the athlete: evidence for management. Foot Ankle Clin. 2013;18(2):237–254.
  15. Mologne TS, Lundeen JM, Clapper MF, O'Brien TJ. Early screw fixation versus casting in the treatment of acute Jones fractures. Am J Sports Med. 2005;33(7):970–975.
  16. Kerkhoffs GM, Versteegh VE, Sierevelt IN, et al. Treatment of proximal metatarsal V fractures in athletes and non-athletes. BR J Sports Med 2012; doi:10.1136/bjsports-2011-090389. DOI  
  17. Zenios M, Kim WY, Sampath J, Muddu BN. Functional treatment of acute metatarsal fractures: a prospective randomised comparison of management in a cast versus elasticated support bandage. Injury. 2005;36(7):832–835.
  18. Bica D, Sprouse RA, Armen J. Diagnosis and management of common foot fractures. Am Fam Physician. 2016 Feb 1;93(3):183-191.
  • Terje Johannessen, professor i allmennmedisin, Trondheim

Tidligere fagmedarbeidere

  • Arild Aamodt, overlege/professor, Ortopedisk avdeling, Lovisenberg Sykehus, Oslo