![]() The majority of fractures (non-displaced) can be managed conservatively but of note is an area between 2 arteries (metaphyseal and nutrient) that provide s blood supply to the metatarsal that can be a risk for delayed and non-union fractures. In short, Lisfranc injuries, zone 2 5th metatarsal fractures, and displaced 1st metatarsal fractures must be detected, and the presence of any fracture near. FIFTH METATARSAL FRACTURE Fractures (breaks) are common in the fifth metatarsal the long bone on the outside of the foot that connects to the little toe. Avulsion fracture of the 5th metatarsal styloid, also known as a pseudo-Jones fracture or a dancer fracture, is one of the more common foot avulsion injuries and accounts for over 90 of fractures of the base of the 5 th metatarsal. To help understand the management of these fractures the base can be divided into 3 zones – the tuberosity, the metaphysis and diaphysis. Citation, DOI, disclosures and article data. Children 5 year or younger are more likely to fracture 1st metatarsal, whereas children older. The majority of fractures occur near the base of the metatarsal (closest to ankle ). Metatarsal fractures represent the most common injury of the foot, accounting for approximately 56 of all the fractures encountered in the primary care setting, with about 4570 of these injuries involving the fifth metatarsal (). Due to the attachment of the peroneus brevis tendon to the base of the metatarsal it is a potential site of fracture i n that of an avulsion fracture. The 5 th Metatarsal is often fractured from ankle inversion injur ies (sprained ankle) as well as direct trauma. What are Fifth Metatarsal Fractures Avulsion fracture: a piece of the bone is pulled off the main portion of the fifth metatarsal by the tendon that attaches. It is common in younger males but also common in older females. Males fracture this bone more than females but the location of the fracture is different for each gender so much so that there is a significant correlation between gender and location. The 5 th metatarsal is located on the outside of the foot and joins to the little toe. T he most commonly injured is the 5 th metatarsal also known as a ‘Jones fracture’. For information on other types of metatarsal fractures click here. This article will focus on fractures to the 5th metatarsal affecting the bone on the outside border of the foot. ![]() Metatarsal fractures are a common foot injury. ![]()
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