#Proximal fifth metatarsal fracture series
Keywordsįifth metatarsal fracture Jones fracture Athlete Intramedullary screwįractures of the proximal aspect of the fifth metatarsal were first described by Sir Robert Jones in 1902 in a case series of four patients that also included the author himself. This paper provides a critical review of the current literature with the author’s preferred method of treatment of these injuries in the elite athlete population to provide the orthopaedic surgeon with a basis for treatment of these injuries based on the most recent literature. This is also the case for diaphyseal stress fractures of the fifth metatarsal. When treating the Jones fracture in the high level athlete the trend in the literature is towards intramedullary screw placement for immediate fixation and subsequent faster return to play. Most fractures of the tuberosity can be treated non-surgically with a stiff soled shoe or controlled ankle motion boot with most athletes returning to play by 8 weeks. For the treating physician, a thorough understanding of the bony and vascular anatomy, mechanism of injury and treatment options are vital to provide the elite athlete with the optimal outcome. These fractures can be separated into three types: tuberosity fractures, Jones fractures and diaphyseal stress fractures. Visit for more related articles at Clinical Research on Foot & Ankleįractures of the proximal fifth metatarsal are injuries that occur more frequently in the elite athlete population and have the potential to significantly impact the ability of the athlete to return to play if not treated appropriately. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. The Approach to Proximal Fifth Metatarsal Fractures in Athletes Ryan Churchill W 1 *, Thomas Sherman I 1, Matthew Carpiniello 2 and William F Postma 1ġ Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, 3800 Reservoir Road NW Washington DC, USAĢ Department of General Surgery, Mount Sinai St Luke's Roosevelt Hospital Center,10 Amsterdam Avenue, NY, USAĭC 20007, USA Tel: 55 Fax: 20 E-mail: date: Accepted date: Published date: Mar 10, 2016Ĭitation: Ryan Churchill W, Sherman IT, Carpiniello M, Postma WF (2016) The Approach to Proximal Fifth Metatarsal Fractures in Athletes.
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