Management of Non-Displaced Proximal First Metatarsal Fracture

Immobilization and Monitoring

• Obtain radiographic follow-up at 3-4 weeks to assess healing progress and ensure no displacement has occurred 1
• Ensure the cast or boot is not overtightened, as this can compromise circulation, particularly important to monitor in young children 2

Special Pediatric Considerations

• At age 3, the child has excellent bone remodeling potential, but this does not justify accepting displacement in first metatarsal fractures due to their functional importance 3
• Monitor for any signs of vascular compromise, which would require immediate intervention 2
• The child's family should be educated on signs of complications and the importance of maintaining immobilization despite the child's activity level 3