The Use of Intramedullary Fixation for Neck Fractures of the 2nd, 3rd, and 4th Metatarsals
Joel Virkler, DO
Lafayette Orthopaedic Clinic, Lafayette, IN
Patient was a 36-year-old male who suffered a closed crush injury from his motorcycle falling on his left foot, just prior to arrival to the emergency department. X-ray and CT imaging demonstrated left 2nd, 3rd, and 4th metatarsal neck fractures, as well as a first metatarsal base fracture-dislocation. There were no other associated injuries and his foot compartments were soft and neurovascularly intact distally (NVID). Due to multiple fractures with displacement in an active individual, surgical fixation was indicated. He was placed in a splint and scheduled for surgery the following day.