Zone II and III fifth metatarsal fractures in athletes

  • Michael Le
  • Robert AndersonEmail author
Foot and Ankle Sports Medicine (M Drakos, section editor)
Part of the following topical collections:
  1. Topical Collection on Foot and Ankle Sports Medicine


Purpose of review

This study aimed to review indications, complications, and outcomes of zone II and III fifth metatarsal fractures based on recent literature.

Recent findings

High rates of nonunion, delayed union, and refracture in athletes treated non-operatively. The standard of care is operative treatment in athletes with intramedullary fixation.


Operative treatment of zone II and III fractures in athletes will decrease the risk of nonunion and refracture while leading to an earlier return to play.


Metatarsal fracture Jones fracture Athlete 


Compliance with ethical standards

Conflict of interest

Robert Anderson reports consultant fees from Wright Medical, Arthrex, Amniox, DJO, and Zimmer Biomet, as well as royalties from Arthrex, Wright Medical, and Zimmer Biomet, outside of the submitted work.

Michael Le declares that he has no conflict of interest.

Human and animal rights and informed consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Department of OrthopaedicsCarolinas Medical CenterCharlotteUSA
  2. 2.OrthoCarolina Foot & Ankle InstituteCharlotteUSA

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