Fracture dislocation of metatarsal bones I-V in 4-year-old g
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Fractures of metatarsal (MT) bones are the most frequent fractures of foot bones in children and represent 3.7% of all fractures in children.Treatment is usually conservative and includes 3-6 weeks of immobilization and protected weight bearing. In adults, some authors recommend reposition and fixation in cases with bone fragment displacement in the sagittal plane and/or shortening. Dislocations of 3-4 mm and angulation of over 10% are also among the criteria for operative treatment. Similar guidelines are advised in children, with significant displacement being set at an angulation of over 10%, displacement of more than half of shaft, and shortening of more than 0.5 cm. A case study of a 4-year-old girl who sustained a dislocated fracture of all 5 metatarsal bones when a table fell on her left foot is presented. Due to substantial sagittal displacement, operative treatment was required. After open reduction, we fixed the fractures with K-wires. Four weeks after the operation, the bones had healed in their anatomic positions and the patient was able to walk without pain.

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