Open Access Publication Treatment of Fourth Metatarsal Base Fracture Non-Unions in Middle Aged Women with Osteoporosis: A Case Study

Fourth metatarsal base fractures are an uncommon foot injury. These fractures can take extended periods of time to heal that is similar to a Jones fracture. The authors report on four metatarsal fractures, three of which resulted in non-unions in middle-aged women with osteoporosis. When conservative treatment failed, two cases were treated with open reduction and internal fixation while the other was treated with extracorporeal shockwave therapy. All three of these fractures ultimately led to radiographic union.