#Fifth metatarsal fracture update
The purpose of the herein study is to provide an update in regard to the evaluation, management, and outcomes of these important and frequent injuries. Nowadays, the term ‘Jones fracture’ defines just one type of the fifth metatarsal fracture, that is a ‘Zone 2’ injury, and there are several misconceptions and controversies regarding the terminology and treatment of these injuries. Sir Robert Jones was the first who described the metaphyseal–diaphyseal (within 0.75 inches from the base) fifth metatarsal fracture in four patients in Liverpool in 1902, with himself sustaining the same injury while dancing ( 7). Besides football, other sports with an increased risk of suffering these fractures include soccer, basketball, and track and field athletes ( 4, 6). In elite athletes ( 4), a 5-year review from a single National Football League (NFL) team demonstrated an incidence of 3.42% ( 5). Noteworthy, the majority of young patients are males, whereas older patients are females ( 3). person-years, with patients most frequently presenting between 20 and 50 years of age ( 2). Their incidence has been reported as high as 1. Metatarsal fractures represent the most common injury of the foot, accounting for approximately 5–6% of all the fractures encountered in the primary care setting, with about 45–70% of these injuries involving the fifth metatarsal ( 1).
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