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Zone II and III fifth metatarsal fractures in athletes

  • Foot and Ankle Sports Medicine (M Drakos, section editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript


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.

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

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Correspondence to Robert Anderson.

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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.

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

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This article is part of the Topical Collection on Foot and Ankle Sports Medicine

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Le, M., Anderson, R. Zone II and III fifth metatarsal fractures in athletes. Curr Rev Musculoskelet Med 10, 86–93 (2017).

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