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What is a Fifth Metatarsal Fracture?

The fifth metatarsal is a long tubular bone that connects the midfoot to the fifth toe. There are two general types of fractures that affect the fifth metatarsal: avulsion and jones fractures. An avulsion fracture can occur as a tendon or ligament pulls resulting in a small portion of the bone breaking off. A jones fracture occurs in the shaft of the bone wear the blood supply is not as rich. As a result, this type of fracture can be notoriously difficult to heal.

Causes and Symptoms

Symptoms may include tenderness, difficulty walking, swelling, and bruising.

Treatment

Non-Surgical Treatments

  • RICE therapy (rest, ice, compression such as an ACE wrap, elevation to help with swelling
  • Cast immobilization (very important so fracture pieces do not move further)
  • Xrays- your foot and ankle surgeon will monitor for bony healing

Surgical Treatments

In the event that the break does not respond to non-surgical therapy, surgery is often needed.

  • Displaced bony fragments
  • Evidence of non-healing
  • Plates and/or screws, bone stimulator, period of immobilization until bone healing achieved

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Atlantic Joint Center Locations

Advanced Spine Surgery Center

855 Lehigh Ave. Union, NJ 07083

Wert Orthopaedics and Sports Medicine

3423 Guider Avenue, Brooklyn, NY 11235

Edison

2163 Oak Tree Rd, Suite 110, Edison, NJ 08820

Englewood

25 Rockwood Avenue Suite #355, Englewood, NJ 07661

Jersey City

200 Hudson St., Suite 145 Harborside, Jersey City, NJ, 07302

Park Avenue

1045 Park Ave., New York, NY 10028

West Orange

475 Prospect Ave., Ste. 110, West Orange, NJ 07052