What treatment approach is commonly recommended for acute fractures in Zone 2 of the fifth metatarsal?

What treatment approach is commonly recommended for acute fractures in Zone 2 of the fifth metatarsal?

• A. Surgical fixation only
• B. Cast immobilization for 6-8 weeks
• C. Immediate weight bearing
• D. Custom orthotic support

Answer: (B)

Zone 2 of the fifth metatarsal refers to a specific area where fractures can occur, particularly in the context of a common injury known as a Jones fracture. The treatment for fractures in this area generally emphasizes non-surgical approaches due to the relative stability and location of the fracture. Cast immobilization for 6-8 weeks is the standard recommendation because it allows for proper healing of the fractured bone while protecting it from further stress and strain. During this immobilization period, patients are able to rest the foot, which can significantly reduce the risk of complications related to the fracture, such as non-union or malunion, that might occur if the bone were to be subjected to weight bearing too soon. This conservative approach is favored since surgical fixation is often reserved for more complicated or displaced fractures that do not respond to immobilization alone. In summary, cast immobilization provides a balance between protection and promoting healing in acute fractures of Zone 2, making it the most commonly recommended treatment.

Zone 2 of the fifth metatarsal refers to a specific area where fractures can occur, particularly in the context of a common injury known as a Jones fracture. The treatment for fractures in this area generally emphasizes non-surgical approaches due to the relative stability and location of the fracture. Cast immobilization for 6-8 weeks is the standard recommendation because it allows for proper healing of the fractured bone while protecting it from further stress and strain.

During this immobilization period, patients are able to rest the foot, which can significantly reduce the risk of complications related to the fracture, such as non-union or malunion, that might occur if the bone were to be subjected to weight bearing too soon. This conservative approach is favored since surgical fixation is often reserved for more complicated or displaced fractures that do not respond to immobilization alone.

In summary, cast immobilization provides a balance between protection and promoting healing in acute fractures of Zone 2, making it the most commonly recommended treatment.