Foot fracture in Barranquilla, Colombia

Which foot fractures are most common?

Metatarsal fractures, especially at the base of the fifth from rolling the foot; stress fractures from repeated overload in runners, soldiers or people who suddenly increase activity; heel bone (calcaneus) fractures from falls; and midfoot injuries called Lisfranc injuries, which can be missed.

What symptoms do they cause?

Pain that worsens with weight-bearing, swelling, bruising on the sole or top of the foot and difficulty walking. In stress fractures, pain builds gradually with activity and eases with rest, without a clear injury.

Why should they not be taken lightly?

Some foot fractures have poor blood supply and heal slowly, such as the Jones fracture of the fifth metatarsal. Untreated Lisfranc injuries can cause arthritis and deformity. If midfoot pain persists after a twist, there is bruising on the sole or you cannot stand on tiptoe, see a specialist.

How are they treated?

Many are managed with a stiff-soled shoe, walking boot or cast for a few weeks. Displaced fractures, unstable Lisfranc injuries, some fifth metatarsal fractures in athletes and many calcaneal fractures need surgery. Stress fractures require rest from the causing activity and a review of technique, footwear, nutrition and bone health.

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