Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 4 Issue 12

Functional Effects of 3 Cases of Functional Fifth Metatarsal Fracture Treatment in Athletes

Bartłomiej Kacprzak and Natalia Siuba-Jarosz*

OrtoMedSport, Łódź, Poland

*Corresponding Author: Natalia Siuba-Jarosz, OrtoMedSport, Łódź, Poland.

Received: October 27, 2021; Published: November 10, 2021


Objectives: The objective of this paper is to present a multi-modal conservative therapeutic regimen applied in three cases of fifth metatarsal bone fracture in Polish highest-level competitive athletes.

Design: Case study series.

Setting: Orthopedic outpatient clinic.

Patients: Three patients (2 male, 1 female) with a mean age 22, competitive athletes, who sustained a fifth metatarsal bone fracture.

Interventions: Autologous conditioned serum injections, intensive rehabilitation regime, hyperbaric chamber sessions.

Main Outcome Measurements: Radiographic fracture union, functional testing, return to play time, VAS score

Results: Three of the patients were treated conservatively according to the presented regime. In our study all fracture consolidated and return to sport time took on average 3 weeks.

Conclusions: The results presented in the paper encourage further implementation of the proposed treatment scheme. This article offers a treatment algorithm that include complex treatment of fifth metatarsal fractures which can be a viable alternative especially among athletes allowing them to quickly return to sport.

Keywords: Fifth Metatarsal Fractures; Athletes; Conservative Treatment; Rehabilitation


  1. Metcalfe SA. “Non-united fifth metatarsal metaphyseal fractures”. The Foot 2 (2001): 99-102.
  2. Nielsen TR., et al. “Long-term results after fracture of the fifth metatarsal”. Foot and Ankle Surgery4 (1998): 227-232.
  3. Fernández Fairen M., et al. “Fractures of the fifth metatarsal in basketball players. Knee Surgery, Sports Traumatology, Arthroscopy 6 (1999): 373-377.
  4. Goulart M., et al. “Foot and Ankle Fractures in Dancers”. Clinics in Sports Medicine2 (2008): 295-304.
  5. Popovic N., et al. “Proximal fifth metatarsal diaphyseal stress fracture in football players”. Foot and Ankle Surgery 3 (2005): 135-141.
  6. Thomson A., et al. “Fifth metatarsal stress fracture in elite male football players: an on-field analysis of plantar loading”. BMJ Open Sport and Exercise Medicine 1 (2018): e000377.
  7. Richter M., et al. “A new foot and ankle outcome score: Questionnaire based, subjective, Visual-Analogue-Scale, validated and computerized”. Foot and Ankle Surgery 4 (2006): 191-199.
  8. Stüber J., et al. “Normative data of the Visual Analogue Scale Foot and Ankle (VAS FA) for pathological conditions”. Foot and Ankle Surgery3 (2011): 166-172.
  9. Lawrence SJ and Botte MJ. “Jones’ Fractures and Related Fractures of the Proximal Fifth Metatarsal”. Foot and Ankle 6 (1993): 358-365.
  10. Yang KGA., et al. “Autologous interleukin-1 receptor antagonist improves function and symptoms in osteoarthritis when compared to placebo in a prospective randomized controlled trial”’. Osteoarthritis and Cartilage 4 (2008): 498-505.
  11. Baltzer AWA., et al. “Autologous conditioned serum (Orthokine) is an effective treatment for knee osteoarthritis”. Osteoarthritis and Cartilage2 (2009): 152-160.
  12. Ekstrand J and Torstveit MK. “Stress fractures in elite male football players: Stress fractures in male football players”. Scandinavian Journal of Medicine and Science in Sports 3 (2012): 341-346.
  13. Wiener BD., et al. “Treatment of Fractures of the Fifth Metatarsal: A Prospective Study”. Foot Ankle Int. 18.5 (1997): 267-269.
  14. Shahid MK., et al. “Aircast Walking Boot and Below-Knee Walking Cast for Avulsion Fractures of the Base of the Fifth Metatarsal: A Comparative Cohort Study”. Foot and Ankle International1 (2013): 75-79.
  15. Gray AC., et al. “A prospective comparison of two treatment options for tuberosity fractures of the proximal fifth metatarsal”. The Foot 3 (2008): 156-158.
  16. Zenios M., et al. “Functional treatment of acute metatarsal fractures: a prospective randomised comparison of management in a cast versus elasticated support bandage”. Injury7 (2005): 832-835.
  17. Roche AJ and Calder JDF. “Treatment and return to sport following a Jones fracture of the fifth metatarsal: a systematic review”. Knee Surgery, Sports Traumatology, Arthroscopy 6 (2013): 1307-1315.
  18. Baumbach SF., et al. “Functional treatment for fractures to the base of the 5th metatarsal - influence of fracture location and fracture characteristics”. BMC Musculoskeletal Disorder1 (2017): 534.
  19. Wright RW., et al. “Refracture of Proximal Fifth Metatarsal (Jones) Fracture After Intramedullary Screw Fixation in Athletes”. American Journal of Sports Medicine 5 (2000): 732-736.


Citation: Bartłomiej Kacprzak and Natalia Siuba-Jarosz. “Functional Effects of 3 Cases of Functional Fifth Metatarsal Fracture Treatment in Athletes".Acta Scientific Orthopaedics 4.12 (2021): 23-28.


Copyright: © 2021 Bartłomiej Kacprzak and Natalia Siuba-Jarosz. 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.


Acceptance rate33%
Acceptance to publication20-30 days

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 10, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US