Fixation of Proximal Fifth Metatarsal Fractures

In athletes or in high-demand patients, requiring return to preinjury physical activity status as soon as possible, fixation of proximal fifth metatarsal fractures using intramedullary cannulated screw techniques is a safe and efficient management alternative. Appropriate screw diameter and length, corresponding to the patient's stature, metatarsal dimensions, and shaft curvature, must be chosen. Optimal guide pin insertion under fluoroscopic control is mandatory. Postoperative management and fixation protection should be individualized. Under these conditions, quick union is predictably achieved with very low complication rates and satisfactory mean time of return to preinjury activity levels.