Jordi Sanchez-Ballester

FRCSEd FRCS Trauma & Orth

Consultant Foot, Ankle & Knee Surgeon

Fairfield Independent Hospital, St Helens

Spire Cheshire

Fairfield Independent Hospital

Crank Rd

St Helens

Merseyside WA11 7RS

01744 739311

Spire Cheshire Hospital

Chris Davies

Fir Tree Close

Warrington WA4 4LU

0845 602 2500

Medico Legal

Nuria Roig

07894 717377

St Helens & Knowsley

Claire Lomax

0151 290 4234

Fracture of the 5th Metatarsal Bone

Type 1 (Tuberosity avulsion fractures):

Immobilisation Method: Below knee cast

Duration of immobilisation:   4-6 weeks

Weight bearing status

FWB as comfortable


Appointment 6/52

No follow-up X-Ray

Only X-Ray if still symptomatic


Type II/III (Jones, Diaphyseal fractures):

Non-active individuals

Conservative Management

Below knee full POP

NWB followed by FWB

(6+2 weeks)

Check X-ray 8 weeks


If not healed

Continue in cast 4/52     

Repeat x-ray  4/52

Non union

Discuss with patient: ORIF (4.5mm solid partially threaded screw)

Young and active individual, athletes, manual labourers

Operative Management

(4.5 mm solid partially threaded screw     

DOWNLOAD: Fracture of the 5th Metatarsal Bone Protocol leaflet