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Foot Fracture, Emergency Medicine

Reviewed 06/2017
 


Basics

Description

Injury to tarsal bones or metatarsals including calcaneus, talus, navicular, cuboid, cuneiform, and metatarsals 

Etiology

  • Most common foot injuries are of the metatarsals and phalanges...

Diagnosis

Signs and Symptoms

History

  • History of preceding trauma most common

  • Stress fractures may present with increasing pain in the setting of repetitive activities.

Physical Exam

  • Ecchymosis, pain, swell...

Treatment

Pre-Hospital

  • Ice bag should be placed on affected foot and foot and ankle immobilized.

  • All patients suspected of calcaneus fracture should have spinal immobilization; often, mechanism is fall ...

Follow-Up

Disposition

Admission Criteria

  • Open fracture

  • Evidence of compartment syndrome or neurovascular injury

  • Open reduction internal fixation required immediately

Discharge Criteria

Most patients with me...

Additional Reading

  • Banarjee  R, Nickishch  F, Easley  ME, et al. Foot fractures. In: Browner, ed. Skeletal Trauma, 4th ed., Vol. 2. Philadelphia, PA: Saunders; 2008, Chapter 61.

  • Green  NE, Swiontkows...

Codes

ICD9

  • 825.20 Closed fracture of unspecified bone(s) of foot [except toes]

  • 825.25 Closed fracture of metatarsal bone(s)

  • 825.29 Other closed fracture of tarsal and metatarsal bones

  • 825.30 Open fracture...

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