Proximal Fifth Metatarsal Fractures in Athletes: Management of Acute and Chronic Conditions

David A Porter; Jeff Klott

doi:10.1016/j.fcl.2020.10.007

Proximal Fifth Metatarsal Fractures in Athletes: Management of Acute and Chronic Conditions

Foot Ankle Clin. 2021 Mar;26(1):35-63. doi: 10.1016/j.fcl.2020.10.007. Epub 2020 Dec 13.

Authors

David A Porter¹, Jeff Klott²

Affiliations

¹ Methodist Sports Medicine/TOS, Department of Orthopedics, Indiana University, Purdue University, 201 Pennsylvania Parkway, Suite 100, Carmel, IN 46280, USA; Wabash College. Electronic address: dporter@methodistsports.com.
² Department of Orthopedics, Indiana University, 46280, USA.

PMID: 33487243
DOI: 10.1016/j.fcl.2020.10.007

Abstract

Proximal fifth metatarsal fractures are common in the athlete and can be a source of significant, temporary disability and missed playing time. The pattern of fracture can vary, and the type of fracture leads to a significantly different prognosis and treatment. Jones fractures of the fifth metatarsal are particularly common and difficult to treat in the athlete, can have recurrence and refracture, and require expertise to heal. Intramedullary screw fixation is currently the preferred method of fixation. Most other (non-Jones fractures and os vesalianum) proximal fifth metatarsal fractures can be treated successfully without surgery.

Keywords: Athletes; Jones fracture; Non-Jones fracture; Proximal fifth metatarsal fractures.

Publication types

Review

MeSH terms

Athletes
Athletic Injuries* / diagnosis
Athletic Injuries* / surgery
Fracture Fixation, Internal
Fractures, Bone* / surgery
Humans
Metatarsal Bones* / injuries
Metatarsal Bones* / surgery