Jiao Long, Xi Juan, Lin Aicui
Department of Rehabilitation, Kunshan Rehabilitation Hospital, Kunshan, China.
Department of Nursing, Jen Ching Memorial Hospital, Kunshan, China.
J Rehabil Med Clin Commun. 2021 Sep 10;4:1000068. doi: 10.2340/20030711-1000068. eCollection 2021.
In China, the stable type of fifth metatarsal base fracture is usually treated by rehabilitation methods after the limbs have been fixed for approximately 4 weeks. A 37-year-old woman fractured her fifth metatarsal base, with a stable fracture type. From the second day of the fracture onward, she agreed to participate in rehabilitative treatment that did not involve surgery or long-term fixation. Fourteen days after the fracture, the patient was able to bear 100% of her body weight and stand for 20 min in a normal posture with supportive elbow crutches. She was able to return to work with double elbow crutches after 25 days. On the 30 day after the fracture, the patient was able to walk 300 m outdoors without any walking aids and with no discomfort. Two months after the fracture, the patient went jogging and was participating in all of her normal daily activities. This case shows that, for stable type fractures of the fifth metatarsal base, rehabilitation starting on the second day after the fracture can help accelerate the patient's return to normal physical activities.
在中国，第五跖骨基底稳定型骨折通常在肢体固定约4周后采用康复方法治疗。一名37岁女性发生第五跖骨基底骨折，骨折类型为稳定型。从骨折第二天起，她同意参与不涉及手术或长期固定的康复治疗。骨折14天后，患者能够用肘部支撑拐杖以正常姿势承受100%体重并站立20分钟。25天后，她能够使用双肘拐杖返回工作岗位。骨折后30天，患者无需任何助行器就能在户外行走300米且无不适。骨折两个月后，患者开始慢跑并参与所有正常日常活动。该病例表明，对于第五跖骨基底稳定型骨折，骨折后第二天开始康复有助于加速患者恢复正常身体活动。
