Treatment Modalities of Fifth Metatarsal Fractures

Abstract

Background: Fractures of the proximal fifth metatarsal cause an important diagnostic
challenge. A difference of millimeters in location can lead to a vastly different prognosis
and treatment plan; a suboptimal treatment regimen can cause delayed union, reinjury,
and chronic disability. Confusion surrounding fracture terminology often compounds the
problem of appropriate diagnosis and management. Fifth metatarsal base fractures of the
metaphyseal-diaphyseal watershed junction (Jones fracture) are commonly treated with
surgical fixation in athletes. Intramedullary screw fixation remains the most utilized
construct.