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Fraktur i metatarsalben

Senast reviderad:
Sakkunnig:
Definition:
Fraktur i metatarsalben (mellanfotsben).
Förkomst:
Relativt vanlig fraktur.
Symptom:
Smärta och svullnad ovanför metatarsalben. 
Kliniska fynd:
Svullnad och palpationsömhet över metatarsalben.
Diagnostik:
Röntgen.
Behandling:
Beror på typ av fraktur. Läkning med felställning kan ge betydande besvär och måste undvikas. Stressfrakturer behandlas med avlastning i 3–4 veckor.
  1. Bica D, Sprouse RA, Armen J. Diagnosis and Management of Common Foot Fractures. Am Fam Physician. 2016;93(3):183-191. PMID: 26926612. PubMed  
  2. Herterich V, Baumbach SF, Kaiser A, Böcker W, Polzer H. Fifth Metatarsal Fracture–A Systematic Review of the Treatment of Fractures of the Base of the Fifth Metatarsal Bone. Dtsch Arztebl Int. 2021;118(35-36):587-594. PMID: 34789369 PubMed  
  3. Boutefnouchet T, Budair B, Backshayesh P, Ali SA. Metatarsal fractures: a review and current concepts. Trauma. 2014;16(3):147–163. journals.sagepub.com  
  4. 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. PMID: 22547534 PubMed  
  5. deWeber, K. Overview of stress fractures. UpToDate. Last updated: Jun 23, 2022. www.uptodate.com  
  6. Grewal US, Onubogu K, Southgate C, Dhinsa BS. Lisfranc injury: A review and simplified treatment algorithm. Foot (Edinb). 2020;45:101719. PubMed  
  7. 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. PMID: 23992775 PubMed  
  8. Canagasabey MD, Callaghan MJ, Carley S. The sonographic Ottawa Foot and Ankle Rules study (the SOFAR study). Emerg Med J. 2011;28(10):838–840. PMID: 20943841 PubMed  
  9. Nunley JA. Fractures of the base of the fifth metatarsal: the Jones fracture. Orthop Clin North Am 2001; 32: 171-80. PMID: 11465126 PubMed  
  10. Wiener BD, Linder JF, Giattini JF. Treatment of fractures of the fifth metatarsal: a prospective study. Foot Ankle Int 1997; 18: 267-9. PubMed  
  11. 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  
  12. Ortopedboken.se. Metatarsale 5-fraktur. www.ortopedboken.se  
  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. PMID: 22017907 PubMed  
  14. O'Malley MJ, Hamilton WG, Munyak J. Fractures of the distal shaft of the fifth metatarsal. "Dancer's fracture." Am J Sports Med 1996; 24: 240-3. PMID: 8775129 PubMed  
  15. Hatch RL, Alsobrook JA, Clugston JR. Diagnosis and management of metatarsal fractures. Am Fam Physician 2007; 76: 817-26. PMID: 17910296 PubMed  
  16. Ortopedboken.se. Metatarsalbensfraktur. www.ortopedboken.se  
  • Anna Nager, docent och specialist i allmänmedicin, Karolinska institutet