Acute Closed Fracture of Proximal Fifth Metatarsal (Zone II)
Conditions
Brief summary
This study aims to compare outcomes of short leg cast and foot cast for treatment acute fifth metatarsal fracture (Zone II).
Detailed description
A randomized controlled trial will conducts between January 2017 and January 2019, participants with acute fifth metatarsal fracture (Zone II) will recruit for this study at the orthopedic outpatient clinic of a police general hospital, Bangkok, Thailand. A total of 100 patients will randomly allocate to receive foot cast or short leg cast. acute closed fracture of proximal fifth metatarsal (zone II) patients.
Interventions
metatarsal foot cast
full short leg cast
Sponsors
Study design
Eligibility
Inclusion criteria
acute closed fracture of proximal fifth metatarsal (zone II) with following criteria 1. History of trauma and pain at lateral side of foot 2. Tenderness at base of 5th metatarsal 3. Radiographic finding shown fracture line at proximal 5th metatarsal bone
Exclusion criteria
1. more than 1 week 2. comminuted or multiple fracture 3. Open fracture 4. Ligament and tendon injury 5. Previous injury complication: nonunion, delayed union 6. Malignancy 7. refuse to inform consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| VAS | 8 weeks | visual analog score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| AOFAS | 8 weeks | foot score |
| union rate | 8 weeks | radiographic union |
| complication | 8 weeks | skin ulcer or compartment syndrome |
Other
| Measure | Time frame | Description |
|---|---|---|
| rescue medication | 8 weeks | paracetamol or NSAIDs |
Countries
Thailand