S92.345

Clinical Causes: Trauma from direct impact, such as dropping a heavy object on the foot Repetitive stress or overuse, common in runners or athletes involved in high-impact sports Accidental falls or twisting injuries to the foot Sudden twisting motions during physical activities Missteps or stubbing the toe

Key Symptoms: Pain localized in the midfoot, especially over the affected area Swelling around the fourth metatarsal Tenderness to touch over the fracture site Difficulty bearing weight on the affected foot Possible bruising in the area A feeling of instability or weakness in the foot during movement

Diagnosis Path: To diagnose a nondisplaced fracture of the fourth metatarsal, medical professionals typically perform a physical examination to assess pain, swelling, and tenderness. Imaging studies are vital and usually include X-rays, which can clearly reveal the fracture line and confirm that the bones are aligned properly without displacement. In some cases, additional imaging such as MRI or CT scans may be used for further assessment, especially if the fracture is complex or not clearly visible on X-rays.

Treatment Protocols: Rest: Avoid putting weight on the injured foot, often requiring the use of crutches. Ice: Applying ice packs to reduce swelling and alleviate pain. Elevation: Keeping the foot elevated to minimize swelling. Immobilization: Using a cast, splint, or stiff-soled shoe to keep the foot stable and prevent movement of the fracture. Pain management: Over-the-counter medications such as acetaminophen or NSAIDs may be recommended by healthcare providers. Gradual mobilization: Once healing progresses, guided physical therapy and exercises may be introduced to regain strength and flexibility. Follow-up imaging: Periodic X-rays to monitor healing progress. Surgical intervention: Typically not required if the fracture remains nondisplaced; however, surgery may be considered if misalignment or complications develop.