From the Research
To confirm a metatarsal fracture with swelling and bruising after 1-2 weeks in a cast, it is crucial to ask about pain levels, weight-bearing pain, numbness, tingling, or color changes in the toes, as these symptoms can indicate potential complications such as compartment syndrome, improper healing, or infection, as noted in recent studies on metatarsal fractures 1. When evaluating the patient, consider the following key points:
- Pain levels and changes since the injury
- Whether weight-bearing is causing increased pain
- Presence of numbness, tingling, or color changes in the toes
- Mechanism of injury to understand the fracture type
- Compliance with elevation and rest instructions
- If the cast feels too tight or if there's unusual odor or drainage
- Medical history, including diabetes, circulation problems, or medications that affect healing These questions are essential in determining if the symptoms represent normal healing or potential complications that may require immediate medical attention to prevent long-term foot problems, as discussed in the management of common foot fractures 2. It's also important to note that metatarsal fractures can present with a variety of situations, ranging from relatively benign to crush injuries leading to extensive damage of the soft tissue and osseous components, as highlighted in studies on metatarsal fractures 3, 4. However, the most recent and highest quality study on metatarsal fractures 1 should guide the assessment and management of these injuries, prioritizing morbidity, mortality, and quality of life as the primary outcomes.