First time I've heard an explanation about the watershed area in the Jones Fracture. Excellent.

Beautiful illustrations and explanations that really helped differentiate between dancers and Jones fractures. Thank you!

Very well presented!

Thank you for the detailed explanation & wonderful illustrations.

@picturemedicine

Жыл бұрын

Thanks 🙂

Great presentation !

@picturemedicine

Ай бұрын

😏😀

Appreciate your way of teaching Sir ❤️ 🙏 😊

@picturemedicine

Жыл бұрын

Thank yuo Sir! 😁

@Kubra-wp6xm

Ай бұрын

@@picturemedicine Hello doctor, I have a comminuted fracture of the 5th metatarsal, my doctor put it in a cast. When I went for a checkup after the 15th day, the boiling did not start. Is this normal? Can I get better without surgery? Please reply.

@picturemedicine

Ай бұрын

@@Kubra-wp6xm If he decided to do cast immobilization, then at least 4 weeks are needed to see some progress. But everyone does a follow up at 2 weeks.

@Kubra-wp6xm

Ай бұрын

@@picturemedicine Thank you very much for the response. This is really a difficult situation, I hope it has started to boil.🙏

Broken the base of my 5th metatarsal in two places (pseudo-jones and Jones fracture) and the surrounding ligaments have been damaged too 😭 really hoping I won't need surgery and it heals okay!! Thanks for the video breaking (hahaha) down the area!

@adaletpesinde4100

6 ай бұрын

How you are?

Great illustrations 10 months ago, I suffered an avulsion fracture to the 5th metatarsal of my left foot. I was told to by urgent care to get my employer workers comp carrier to get me to an orthopedic surgeon asap. The urgent care doctor got me a script for a walking boot and a knee scooter and I went back to work. I work in retail and stand all day with a lot of walking and it took about a week to get the boot and scooter approved through WC and then it took 10 days to get sent to a general orthopedic doctor as my WC rep was on vacation. Still working keep in mind. by this time it started to displace from hairline to 2mm + gap. After 8 months of not healing and the gap extending to as far as the surrounding tissue would let it the 4th doctor told me I didn't really have to use the boot or the scooter anymore as they really weren't doing anything. He had me change to an ankle brace and now we are trying to get set up to remove the displaced bone so maybe the pain can go away and sew up the tendon. What are the concerns if they never do the surgery. I do a lot of heavy lifting, moving appliances and kitchen cabinets around at work which requires me to plant my feet to get leverage. No one has told me what the potential long term problems may be if they don't fix me. I am 55 years old with diabetes and an A1C of 7.3. I was checked for circulation issues in my foot and leg and they are fine with good blood flow. I am very concerned as this August will be a year since the initial injury and I am no farther along then I was 10 months ago. Except for continued pain and frustration. Sorry didn't mean to be so long winded

@picturemedicine

Жыл бұрын

If there are no sings of healing for more than 9 month it is a pseudoarthrosis ( nonunion fracture) and that needs operational treatment to heal. You should consulte with a ortopedic surgeon.

excellent. beautiful work!!!

@picturemedicine

5 ай бұрын

Thank you! 😁😁🙂

Thank you so much!

Thank you for that❤ It’s helped a lot

@picturemedicine

Жыл бұрын

🙂🙏👍Thank you!

Sequelae of inversion injury with grade 2 ATFL and grade 1 CFL sprains. Intact normal peroneal tendons and retinaculum

so many thanks for this lesson. I just met the body of the fifth metatarsal bone and had surgery 4 weeks ago. hoping I can go back to the football pitch at the end of this year.

@picturemedicine

Жыл бұрын

Thanks. You will my friend!! 🙂

Thank you God bless you

13:00

Thank you so much..well explained.

@picturemedicine

6 ай бұрын

😁☺🙂

Very good video. I fractured my fifth metatarsal two weeks , and I'm stuck watching videos and inflating and deflating my airboot. Very exciting. Haha. The doctor who x-rayed my foot said I should be ok in six weeks, but the bone in my midfoot (the styloid process?) is sticking out quite a bit. Is that normal with the injury I have?

@picturemedicine

2 жыл бұрын

If your doktor thinks it will heal, it probably will, you will notice it, the pain will be less and less, if the process is going well. Do as instructed for 6 weeks then a check up, most heal, esspetialy in the young. :-) Displacement of 5mm +/- 1mm is always treated first with cast, becaus good healig rates.

@dannyneville1310

2 жыл бұрын

@@picturemedicine Thank you for taking the time to reply. Hopefully I'll be dancing again soon. Haha. Enjoy the rest of your week. 🙂

ULTRASOUND-RIGHT ANKLE Clinical indication-fracture of the 5th metatarsal base FINDINGS Reference has been made to right foot x-rays dated 06/23/2023 Joints: Small anterior ankle joint effusion. No synovitis. Normal talonavicular joint. Ligaments: AITFL: Normal. ATFL: Grade 2 sprain with diffuse thickening with a few disrupted fibers. No full-thickness tear. CFL: Grade 1 sprain with diffuse ligamentous thickening with no tear. Superficial deltoid: Normal. Tendons: Anterior tibial/extensor tendons: Normal. Posterior tibial/flexor tendons: Normal. Peroneal tendons/retinaculum: Normal. Soft tissues: Lateral ankle subcutaneous edema. No collection. IMPRESSION

@picturemedicine

11 ай бұрын

Looks like a ankle joint distorsion. If problems persist for more than 6 weeks, and dont get any better, i would do an MRI.

Can you please do a video on after taking the cast off ? Some say try to walk right away some dont . What do you recommend ?

@picturemedicine

3 жыл бұрын

If the fracture showes healing ( x ray and clinically ( no pain or significant reduction of pain on palpation of fracture site)), i would always advice to walk right after cast removal and geting back to normal activity as soon as posible. :-)

@supanova998

3 жыл бұрын

@@picturemedicine thank you so very much for replying . Another question : is it necessary to do physiotherapy with a specialist or can i do it myself using youtube videos ?

@picturemedicine

3 жыл бұрын

@@supanova998 Maybe one or two physiotherapy sesions with a specialist, than at home. If the fracture has heald it is realy no big deal any more. :-)

@supanova998

3 жыл бұрын

@@picturemedicine thank you so much Doc . Bless you 🙌🏻

I sustained a 5th metatarsal base fracture on 8/23. X-rays showed intra-articular mildly displaced fracture of the fifth metatarsal base, transversely oriented. There is no dislocation. There are suture anchors projecting over the calcaneus. Prominent plantar calcaneal enthesophyte is note. I saw a podiatrist. He said it was borderline whether or not I need surgery. I was given an air cast and told nwb, or minimal heel walking when necessary. I see my podiatrist next week for follow up xrays. What questions should I ask?

@picturemedicine

Жыл бұрын

If it stays with no dislocation, maybe it could go without an OP, if it dislocates more he will probably suggest OP. I would ask how big the healing rate is with an OP if one is indicated? Also if not dislocated ask what the healing rate is without an OP? This fracture heals in about 6 weeks, in your case already 3 weeks passed. Now soft callus has formed, it will be harder to operate, if it shows sing of healing and stability it could heal with cast and nwb per protocol.

@mrsmcg

Жыл бұрын

@@picturemedicine I have been in an air cast since the day after the injury. I have been using a knee scooter and only do a bit of heel walking when I have to use the bathroom. I am concerned about possibly needing to have surgery after 4 weeks of healing. What are the chances of refracturing my foot without surgery? I haven't found a way to sleep in bed, as we have a tall bed frame. I have been sleeping on a sofa for 3 weeks now.

@JojoJojo-er6li

Жыл бұрын

@@mrsmcg Refracture chanches after haeling are the same with op or without op 😉. I hope it will heal witch cast!

I recovered according to my xray film at the end of 6 weeks. can i put pressure on it now and Should I do ankle mobilization?

@picturemedicine

Жыл бұрын

If there is no pain, yes full pressure can be put on the leg, if there is some pain try to be resonable with pressure for 2 more weeks, after that healing should be done, and the pain needs to be gone completely by that time. Mobilization of the ankle is ok. 🙂

Ver helpful thank you ❤ i broke my 5th metatarsal in 4 places its been 3 months and its not healed yet, i used to be a heavy smoker, can it be the only reason why its not healing?

@picturemedicine

3 ай бұрын

Definitely not the only reason, when bone heals slower or not at all, it is a multifactorial problem. But the main problem in younger patients is fracture stability and in older fracture viability.

Hello PictureMedicine, I have a comminuted fracture base 5th Metatarsal bone foot, my doctor does not recommend surgery. Is it okay in this case? I will be happy to share my X-ray. Thank you for answer. Perfect presentation about this topic.

@picturemedicine

2 жыл бұрын

Send X ray. If the comminution is to great, then non operative treatment is a possibity.

@nessd7356

2 жыл бұрын

@@picturemedicine hi i have the same type of fracture comminuted displaced psuedo Jones fracture. The bone is only 1*0.8 cm (small piece) and displaced by 5-6mm. What should I do?

@picturemedicine

2 жыл бұрын

Send X ray. I will answer via e -mail. ;-)@@nessd7356

@nessd7356

2 жыл бұрын

@@picturemedicine have shared it to ur email. Thank you

@melissac6361

Жыл бұрын

Non displaced mid shaft fifth metersdal and sprained ankle is this common ? And does it usually heal pretty quick?

i have a proximal shaft fracture of my 5th metatarsal is that a jones fracture? also i have moderate sized heel spur as well the pain goes all the way up to my calf and now upper leg on the outside area is this typical ?

@picturemedicine

Жыл бұрын

It is a shaft fracture if it is located on the diaphysis of the 5th metatarsal bone. A moderate spure usually gives pain in the location of the tendon attachement. Without clinical examination it is hard to point you into the right direction, could be for example a lower back associated problem, that proximal leg pain.

@morganophelia5963

Жыл бұрын

@@picturemedicine ok thank you well yes i do have spondlythesis in my lower back between the 4th and 5th lumbar I was dignosed at 11 they said I was probably born with it

Hi PictureMedicine, I have a 5th Metatarsal bone foot fracture with a really wide gap and my bone is out of alignment yet my doctor did not do any repositioning it is in a cast right now. should i be worried about this. I will be happy to share my xray

@picturemedicine

2 жыл бұрын

You can send the picture ( x-ray) to the e-mail in the channel description. :-)

X-RAY RIGHT FOOT Clinical indication-5th metatarsal base fracture Please explain FINDINGS Reference has been made to right ankle x-rays dated 04/30/2023 Stable good apposition and alignment of the previously documented 5th metatarsal base fracture. Interval progression of bone union with callus and sclerosis. Complete bone union is yet to be achieved. Stable bone remodeling at the talus and navicular bone in keeping prior ligamentous avulsion. DR. BISHUM RATTAN

X-RAY RIGHT FOOT Clinical indication-5th metatarsal base fracture FINDINGS Reference has been made to right ankle x-rays dated 04/30/2023 Stable good apposition and alignment of the previously documented 5th metatarsal base fracture. Interval progression of bone union with callus and sclerosis. Complete bone union is yet to be achieved. Stable bone remodeling at the talus and navicular bone in keeping prior ligamentous avulsion. DR. BISHUM RATTAN

I have a dancer ( as you describe ) fructure at 5th MT and there is some gap betwen bones. it is about 5 mm and gap is smilar to V shape. My doctor told me to stay in cast for 45 days and see how it will go. Do you think this gap is normal or is it too widen?

@picturemedicine

3 жыл бұрын

AO surgery suggests that less then 5mm or 5 mm can by treated with cast. Haeling is more than 95% reported. So i wood say that the decision is correct. Folow up is definitely needed after cast to asses haeling ( x-ray ). surgeryreference.aofoundation.org/orthopedic-trauma/adult-trauma/metatarsals/5th-base-metaphyseal-avulsion-fractures Look at the link - AO surgery is the most respected site for orto-trauma surgery in the World.

@sahsikullanc8218

3 жыл бұрын

@@raghunath2972 I can walk now but it took really long time, my foot stayed in cast for 50 days and after that they replaced it with another cast but it was different, it didn't cover all of my foot but it only supooerted bottom of my foot but I wasn't able to walk with this cast either. Anyway they removed the second cast after 30days. After 80 days my foot wasn't in any kind of cast but I wasn't able to walk I was only able to stand on both foot withouth giving much pressure to broken one. I tried to walk with crutches but it was very very painfull. Day by day I tried to give more pressure. I used crutches for 2 weeks and after that I used onle one. after another 2 weeks I tried to walk on both foot. As a result it took more than 4 moths to walk again. Am I OK now, not really, I can not run, I can not walk long distance, it starts to give pain, during nights I still have pain. My doctor says it will take up to 1 year to heal %100

Can you do one on AS?

@picturemedicine

2 жыл бұрын

What do you mean exactly by AS?

How do we know if the bone doesn't heal after 6 weeks?

@picturemedicine

Жыл бұрын

There will be pain, if it heals completely there is no pain.

I have an avulsion fracture. Will there be a change in the image on xray in 3 weeks?

@picturemedicine

Жыл бұрын

yes

@umutyasarkececi1789

Жыл бұрын

@@picturemedicine thanks a lot sir . Will I be able to get the boot out at the end of 6 weeks?

@picturemedicine

Жыл бұрын

@@umutyasarkececi1789 Yes, most patients do, it heals after 6 to 8 weeks in most cases. 🙂

@umutyasarkececi1789

Жыл бұрын

@@picturemedicine thanks a lot sir you are the best ❤️

Sir report of ct scan of mine is comminuted, displaced fracture base of fourth metatarsal is seen.linear undisplaced fracture base of second metatarsal is seen means I'm not getting this report so sir kindly let me know the proper treatment and after treatment wht should I avoide or what should I do as they are telling me to keep cast for one month I'm totally confused

@picturemedicine

2 жыл бұрын

If you have the initial X-ray in AP and profile view send to my e-mail in the channel description, for a more accurate comment. From the info in your comment a would say a month of immobilisation with two follow up examinations and X rays ( after 2 and 4 weeks ) is ok.

Hi i have same 5th metatarsal fracture my dr.cast my foot my question cam walk with plaster will it delal the healing process or not. Currently m not feeling any pain

@picturemedicine

Ай бұрын

All depends on how the fracture looks on x ray and how stable it is. Your dr will probably give some advice about walking on the next follow up. 🙂

How can ı understand my 5th metatersal avulsion freactered ıs okay wıthout x ray

@picturemedicine

Жыл бұрын

If you have no pain and no disability when walking it has heald. 😃😁😅

What about fractures in the tuberosity area ?

@picturemedicine

Жыл бұрын

mostly heal good and often treated only with cast

Sequelae of inversion injury with grade 2 ATFL and grade 1 CFL sprains. Intact normal peroneal tendons and retinaculum

ULTRASOUND-RIGHT ANKLE Clinical indication-fracture of the 5th metatarsal base FINDINGS Reference has been made to right foot x-rays dated 06/23/2023 Joints: Small anterior ankle joint effusion. No synovitis. Normal talonavicular joint. Ligaments: AITFL: Normal. ATFL: Grade 2 sprain with diffuse thickening with a few disrupted fibers. No full-thickness tear. CFL: Grade 1 sprain with diffuse ligamentous thickening with no tear. Superficial deltoid: Normal. Tendons: Anterior tibial/extensor tendons: Normal. Posterior tibial/flexor tendons: Normal. Peroneal tendons/retinaculum: Normal. Soft tissues: Lateral ankle subcutaneous edema. No collection. IMPRESSION

X-RAY RIGHT FOOT Clinical indication-5th metatarsal base fracture FINDINGS Reference has been made to right ankle x-rays dated 04/30/2023 Stable good apposition and alignment of the previously documented 5th metatarsal base fracture. Interval progression of bone union with callus and sclerosis. Complete bone union is yet to be achieved. Stable bone remodeling at the talus and navicular bone in keeping prior ligamentous avulsion. DR. BISHUM RATTAN