Stress fracture of the 5th metatarsal

Last revised by Pir Abdul Ahad Aziz Qureshi on 8 Nov 2022

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

Cases and figures

  • Figure 1: fractures of the proximal 5th metatarsal
  • Case 1
  • Case 2
  • Case 3
  • Case 4
  • Case 5

Imaging differential diagnosis

  • Apophysis of 5th metatarsal (illustration)
  • Os peroneum - diagram
  • Jones fracture
  • Avulsion fracture of the 5th metatarsal styloid (Pseudo-Jones)
  • Os peroneum
  • Os vesalianum pedis
  • Fifth metatarsal apophysis
  • Iselin disease: traction apophysitis base of the 5th metatarsal
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