DANCER’S FRACTURE

If you suffer from  chronic pain or weakness related to fracture in the foot or ankle, don’t hesitate to Schedule an appointment with one of our orthopedic specialists.

What is a Dancer’s Fracture?

An injury to the ankle and foot caused by twisting may cause an avulsion fracture at the base of the bone that attaches the little toe to the foot (5th Metatarsal). During a Foot Fracture Avulsion, a fragment of the bone at the base of the pinkie toe separates due to a strong plantar ligament that attaches to this part of the bone. A Dancer’s fracture causes pain, swelling, and difficulty walking. Patients with conditions such as Osteoporosis have a higher risk of all types of bone fracture, due to decreased bone density.

A dancer’s fracture typically occurs due to a sudden twisting or rolling of the ankle, causing excessive force on the fifth metatarsal. This can happen during dance movements, like jumps or quick changes in direction, or during other activities involving similar foot movements.

Two Main Types of Dancer’s Fractures

An avulsion fracture of the fifth metatarsal occurs when a tendon or ligament attached to the bone pulls away a small piece of bone. This injury often happens due to a sudden, forceful muscle contraction, which causes the bone fragment to break off. Athletes and dancers, who frequently exert high forces on their feet, are particularly susceptible to this type of fracture.

In contrast, a Jones fracture is a more severe injury involving a break in the mid-portion of the fifth metatarsal bone. Unlike an avulsion fracture, which typically results from a specific incident, a Jones fracture often stems from repetitive stress or trauma to the area. This type of fracture is notorious for its difficulty in healing due to limited blood flow to the midsection of the metatarsal. This makes it prone to complications and prolonged recovery.

Both types of fractures require accurate diagnosis and appropriate treatment. Avulsion fractures may heal with rest, immobilization, and physical therapy. However, Jones fractures often necessitate more aggressive interventions such as casting, prolonged non-weight bearing, or even surgical repair. This ensures proper healing and prevent recurrence.

Indication Of Dancer’s Fracture

A dancer’s fracture, specifically affecting the fifth metatarsal, often presents with distinct indicators that signal the need for medical attention. Patients typically experience sudden pain on the outer edge of the foot following a twisting injury or sudden forceful movement. Swelling and bruising usually develop rapidly around the affected area, and weight-bearing activities, such as walking or standing, exacerbate the pain.

Physical examination reveals tenderness and localized pain along the fifth metatarsal. In some cases, a visible deformity or an abnormal bump may appear where the fracture occurred. Patients often struggle to perform activities that involve pushing off with the affected foot, as the pain intensifies with such movements.

Diagnostic imaging, such as X-rays, confirms the presence of a fracture. Prompt medical evaluation and treatment are crucial to prevent complications and ensure proper healing. Recognizing these indicators early allows for timely intervention, reducing the risk of long-term issues and facilitating a smoother recovery.

Treatment For Dancer’s Fracture

Treatment for a dancer’s fracture depends on the severity and location of the fracture. Non-surgical treatment options may include immobilization with a cast or walking boot, along with rest, ice, elevation, and pain medication. Crutches may be used to keep weight off the injured foot during the initial healing phase.

In some cases, especially if the fracture involves displacement or if conservative treatment is unsuccessful, surgery may be recommended. Surgical options can include internal fixation with screws or plates to stabilize the fractured bone and promote proper healing.

Following treatment, rehabilitation exercises, and physical therapy may be prescribed to restore strength, flexibility, and function to the foot. The length of the recovery period can vary depending on the severity of the fracture and the individual’s healing process.

Dancer’s Fracture Recovery 

If you would like to speak to one of our Foot and Ankle Specialists, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.