Q. What is the treatment for fracture of fifth metatarsal bone?

Answered by
Dr. Berry Chirag Ashok
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Jan 01, 2016 and last reviewed on: Mar 16, 2019

Hi doctor,

I twisted my leg and got an x-ray done. The report showed fracture at the base of the 5th metatarsal bone. How to proceed with the treatment? Thank you in advance.



Welcome to

Sorry to hear about your injury.

I had looked at the x-rays (attachment removed to protect patient identity) you seem to be having a pseudo-Jones fracture. Mostly, this fracture can heal without any surgical intervention.

You will have to use either a walking cast or an orthopedic boot. If it is painless, then weight bearing by the cast or boot will be fine. This part does not bear any pressure.

Few fractures though healed, may be associated with some amount of pain. In your case, the fracture line is entering into the cuboid-metatarsal joint. Hence, some pain may be present.

I would like to have a look at the lateral view x-rays of your foot as well your knee to check for any injury associated with other tarsometatarsal joints.

Probable diagnosis:

Pseudo-Jones fracture.

Treatment plan:

1. Walking with below knee cast or splint.
2. Walking with orthopedic boot for six weeks with weight as bearable.

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