Fractured first metatarsal in child

• Re: Fractured first metatarsal in child Vivian Abrams DPM 23:08:35 1/13/2003 (0)

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Comments:: My 11yr old daughter has "an undisplaced hairline fracture running obliquely through the shaft of the first metatarsal" (left foot). This injury was caused by a horse standing on her foot. : The doctor first put a half plaster cast on her to ensure the swelling had run its course and which came off after 3 days. She is now in a knee to toe plaster cast supposedly for the next 3 weeks. The cast has become quite loose and she is complaining of abrasion now on the back of the ankle. : I have been reading on the web that the an injury to the first metatarsal should not be set in plaster. It should only be strapped. : -Should the cast be taken off because it should not be plastered? : -If the cast comes off, how long should her foot be strapped for? : -If the cast stays on should her foot be strapped when it comes off in 3 weeks and if so, for how long? : -If the cast stays on should it be redone because it is so loose now? : -I also read that any bandage should not be worn at night. Is this valid? : Any advice would be much appreciated. : Worried mum : Louise

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