Fractures of the proximal fifth metatarsal

Last revised by Rohit Sharma on 31 Jul 2023

The proximal 5th metatarsal is the site of a number of fractures. These include:

The biomechanics of the fractures differ as do their natural history and treatment, therefore an understanding of these entities is important.

Some classifications have also been described for explaining proximal 5th metatarsal fractures, their prognosis, and management options:

Differential diagnosis

There are variants and conditions that mimic fractures. These include:

Cases and figures

  • Figure 1: apophysis of 5th metatarsal
  • Figure 2: fractures of the proximal 5th metatarsal
  • Case 1: Jones fracture
  • Case 2: avulsion fracture with os peroneum
  • Case 3: stress fracture
  • Case 4: pseudo-Jones fracture

Imaging differential diagnosis

  • Os vesalianum pedis
  • Os peroneum
  • Apophysis of the proximal 5th metatarsal
  • Iselin disease
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