Base of 5th Metatarsal Fracture

Patient Information

https://www.summitmedicalgroup.com/library/adult_health/sma_fifth_metatarsal_fracture/

GP Information

Background Information

• A common injury classically caused by ankle inversion / adduction / or repetitive microtrauma.
• Patients typically complain of pain on the lateral boarder of the foot worse on weight -bearing.
• Examination may reveal tenderness on direct palpation.

Investigation Guidelines

• Patients with suspected fractures should undergo imaging as part of a specialist assessment.

Management Recommendations

• All patients with suspected acute 5th metatarsal fractures should be referred immediately to A&E for imaging and further management.
• Delayed presentations should be referred to a local fracture clinic. Whilst awaiting a review the following conservative measures are recommended;
• PRICE.
• NSAIDs.
• Crutches to off load the injured leg.