Stress fracture of the 5th metatarsal
Citation, DOI, disclosures and article data
Citation:
Qureshi P, Elfeky M, Sichona C, et al. Stress fracture of the 5th metatarsal. Reference article, Radiopaedia.org (Accessed on 23 Feb 2025) https://doi.org/10.53347/rID-7647
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rID:
7647
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Disclosures:
At the time the article was created Frank Gaillard had no recorded disclosures.
View Frank Gaillard's current disclosures
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Disclosures:
At the time the article was last revised Pir Abdul Ahad Aziz Qureshi had no financial relationships to ineligible companies to disclose.
View Pir Abdul Ahad Aziz Qureshi's current disclosures
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Stress fracture of the 5th metatarsal is the least common fracture type of the proximal 5th metatarsal, with an avulsion fracture being the most common, followed by Jones fracture. Stress fractures typically occur within 1.5 cm of the metadiaphyseal junction, slightly distal to the site of a Jones fracture.
Management of stress fractures is non-operative with functional treatments and early weight-bearing 2.
Differential diagnosis
- avulsion fracture of the proximal 5th metatarsal - pseudo-Jones fracture
- Jones fracture
- os vesalianum pedis
- os peroneum
- normal apophysis of the proximal 5th metatarsal
- Iselin disease (apophysitis)
References
- 1. Theodorou D, Theodorou S, Kakitsubata Y, Botte M, Resnick D. Fractures of Proximal Portion of Fifth Metatarsal Bone: Anatomic and Imaging Evidence of a Pathogenesis of Avulsion of the Plantar Aponeurosis and the Short Peroneal Muscle Tendon. Radiology. 2003;226(3):857-65. doi:10.1148/radiol.2263020284 - Pubmed
- 2. Cheung C & Lui T. Proximal Fifth Metatarsal Fractures: Anatomy, Classification, Treatment and Complications. Arch Trauma Res. 2016;5(4):e33298. doi:10.5812/atr.33298 - Pubmed
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