Fractures of the 5th metatarsal are a commonly seen injury from trauma, overuse or even high arches. These injuries often times can be treated conservatively in fracture boot, however can also be surgical based on the patient’s age/activity , comorbidities and fracture pattern. Here is a quick video illustrating the different types of fracture patterns and how they are surgically repaired on a case by case basis.
Steven sustained a true insertional achilles tendon rupture that required aggressive tendon/bone debridement, tendon reattachment with anchor fixation and finally a V-Y tendon lengthening procedure to restore physiologic length and tension. Physical therapy currently has Steven walking in fracture boot with plans to return back into shoes with brace by post-op week 10.
Neglected heel pain can sometimes lead to spontaneous ruptures like this. it̢۪s important to diagnosis and treat in the early stages of presenting symptoms.
