What are common symptoms of Forefoot Fractures (Metatarsal and Phalangeal Fractures)?

Symptoms include pain, swelling, bruising, tenderness, and difficulty walking or bearing weight.

When should I see a specialist for a toe or forefoot fracture?

You should see a specialist if pain and swelling persist, if the fracture is severe, or if you have difficulty walking after an injury.

Forefoot Fractures (Metatarsal and Phalangeal Fractures) Treatment Miami, FL

Q: What are Forefoot Fractures (Metatarsal and Phalangeal Fractures)?

Forefoot Fractures (Metatarsal and Phalangeal Fractures) refer to breaks in the bones of the toes or the front portion of the foot, commonly caused by trauma, falls, or sports injuries.

Q: How are Forefoot Fractures (Metatarsal and Phalangeal Fractures) treated?

Treatment depends on the severity of the fracture and may include splinting, casting, bracing, physical therapy, or surgery in complex cases.

Forefoot Fractures (Metatarsal and Phalangeal Fractures)

The forefoot is the front portion of the foot, responsible for weight-bearing, balance, and movement during walking, running, and standing. It is made up of:

5 metatarsal bones
14 phalange bones (toes)
Associated ligaments, tendons, and soft tissues

A forefoot fracture occurs when one or more of these bones crack or break. In some cases, the broken bone may protrude through the skin; these are known as open fractures.

Causes

Forefoot fractures can result from:

Traumatic impact: A sudden injury from dropping a heavy object on the foot, stubbing the toe, or a direct blow.
Stress fractures: Small, hairline cracks caused by repetitive stress or overuse, common in runners, dancers, and athletes.

Symptoms

Signs of a forefoot fracture may include:

Pain at the time of injury
Cracking or popping sound at the moment of impact
Swelling and bruising
Tingling or numbness
Blue or gray discoloration of the skin
Inability to bear weight or walk
Nail injuries (if the fracture is near the toe tip)
Visible deformity (if untreated)

Diagnosis

Diagnosis begins with a physical examination of the forefoot, followed by imaging studies such as:

X-rays to confirm the fracture and evaluate alignment
Additional imaging (CT or MRI) may be used in complex or stress fractures

Treatment

Treatment depends on the severity and location of the fracture:

Non-Surgical Treatment

Rest: Avoid putting weight on the injured foot.
Medications: Pain relievers may be prescribed.
Splints or Rigid Shoes: To immobilize the affected toes and protect the fracture.
Buddy Taping: Fractured toes are taped to adjacent toes with padding in between to maintain proper alignment.

Surgical Treatment

Surgery may be required if the fracture is displaced, open, or fails to heal with conservative treatment.

Performed under local or regional anesthesia
Realignment of bones using pins, screws, or plates
Follow-up X-rays to ensure proper healing
Healing generally takes 6-8 weeks

Recovery

Keep the foot elevated and limit weight-bearing as instructed
Use crutches, walking boots, or splints as recommended
Gradual return to normal activities once healing is confirmed
Physical therapy may be suggested to restore strength and mobility

Why Choose Alejandro Pino

Dr. Alejandro Pino is a fellowship-trained foot and ankle surgeon who combines advanced surgical techniques with a patient-centered approach. He emphasizes restoring function, mobility, and long-term foot health while minimizing pain and recovery time. With his expertise in both surgical and non-surgical care, he develops individualized treatment plans that best suit each patient's needs, ensuring optimal outcomes for fractures and forefoot injuries.

Summary:

Forefoot fractures involve breaks in the metatarsal or phalangeal bones of the front foot. Early recognition, proper immobilization, and, when needed, surgical realignment help ensure a full recovery and prevent long-term complications.