Fifth metatarsal fracture

The foot has five long metatarsal bones. The fifth metatarsal runs along the outside of the foot towards the little toe. The most common break is at the base of this bone and often happens when the foot twists or rolls inwards. Different areas of the bone can fracture, and the exact position affects treatment and healing.

What is a fifth metatarsal fracture?

The foot has five long metatarsal bones. The fifth metatarsal runs along the outside of the foot towards the little toe. The most common break is at the base of this bone and often happens when the foot twists or rolls inwards. Different areas of the bone can fracture, and the exact position affects treatment and healing.

What causes it?

There may be more than one reason why this develops. Possible causes or contributing factors include:

  • The foot twisting or rolling inwards
  • A fall or awkward landing
  • A direct impact
  • Repeated strain through the outer side of the foot

 

What are the symptoms?

Everyone experiences symptoms differently, but you may notice:

  • Pain along the outside of the foot
  • Swelling and bruising
  • Walking with a limp
  • Pain when putting weight through the foot

How is it diagnosed?

Your consultant will examine the foot and ask how the injury happened. X-rays are normally used to confirm the fracture and show its position. The assessment will also check for an ankle sprain or another midfoot injury.

We’ll explain any tests clearly and talk you through the results, so you understand what they mean for you.

How is it treated?

Treatment depends on the exact fracture, whether the bone remains in position and the likelihood of it healing successfully. Together, we’ll build a plan around your needs, your recovery and the activities that matter most to you.

  • A walking boot
  • Crutches to reduce weight through the foot
  • Regular reviews and follow-up imaging
  • A gradual return to weight-bearing
  • Rehabilitation as the bone heals

Your consultant will help you understand which options may be right for you and when your progress should be reviewed.

 

Recovery goals after treatment for fifth metatarsal fracture

Phase 1

Early recovery

Protect the fracture Reduce pain and swelling Move safely in a boot or with crutches

Phase 2

As your symptoms improve

Return gradually to normal walking Restore foot and ankle movement Begin rebuilding strength

Phase 3

Returning to full activity

Return to exercise or sport Regain balance and confidence Reduce the risk of further injury

Working with professionals and teams

Our consultants support professional athletes, sports teams and active individuals with the assessment and treatment of meniscus injuries. Working closely with physiotherapists, strength and conditioning specialists and the wider care team, they develop personalised treatment plans that support a safe return to sport or everyday activities.

 

The same specialist expertise and collaborative approach are available to every patient, whatever your activity level or goals.

 

Working with professionals and teams

How to pay

We offer flexible options depending on how you choose to access care at Fortius. Whichever option you choose, we’ll help make the process clear and straightforward from the start.

Private medical insurance

Private medical insurance

If your care is covered by private medical insurance, we’ll usually invoice your insurer directly. Please check your policy in advance and request an authorisation code if your insurer requires one. You’ll be responsible for paying any policy excess or costs that aren’t covered by your insurance.

Paying for yourself

Paying for yourself

You don’t need private medical insurance to access care at Fortius. If you’re paying for your own treatment, our team will explain the costs clearly and provide a personalised quote before you decide whether to go ahead.

 

Find a clinic near you