PEDIATRIC METATARSAL FRACTURES

Pediatric metatarsal fractures are relatively uncommon due to the flexibility of children’s foot bones and joints, which help dissipate forces. However, these fractures can occur through direct trauma, such as falls or crush injuries, or indirect mechanisms like sports-related stress fractures and torsional injuries. The fifth metatarsal is particularly susceptible to torsional forces, making it more prone to fractures in adolescent athletes. Biomechanical factors play a crucial role in these injuries, as pediat-ric bones exhibit greater elasticity, often leading to incomplete or greenstick fractures. However, this flexibility also makes soft tissue injuries more complex. Growth plates are particularly vulnerable, and fractures involving these areas may lead to long-term complications if not managed appropriately. The most commonly affected metatarsals are the first and fifth. Stress fractures are more common in ado-lescents who participate in sports. In young children who may have difficulty expressing pain, careful physical examination is essential. Differential diagnosis should include conditions like Lisfranc inju-ries, which share similar presentations but require distinct management approaches. Early recognition and appropriate management of pediatric metatarsal fractures are critical for optimal recovery and the prevention of long-term functional deficits.