5th Metatarsal Fracture


4.6 out of 5 (300 Reviews)



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Start Date

1 Sep 2023

Last Review Date

1 Sep 2023

Expiration Date

31 Aug 2026

Estimated Time To Finish

90 Minutes

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Activity Description

Fractures of the fifth metatarsal are common injuries that must be recognized and treated appropriately to avoid poor clinical outcomes for the patient. The clinician must recognize all injury patterns of the fifth metatarsal and initiate the appropriate treatment plan or referral process to avoid potential complications. Classification of these fractures is crucial to making management decisions. Metaphyseal arteries and diaphyseal nutrient arteries provide the blood supply to the fifth metatarsal base. A vascular watershed area exists in zone 2, contributing to the high nonunion rates seen with these fractures. This activity describes the evaluation and management of fractures of the fifth metatarsal, illustrates the zones of proximal base fractures and more distal fractures, and examines the interprofessional team's role in evaluating and treating patients with these fractures.

Target Audience

This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, and nurse practitioners.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify the etiology of fifth metatarsal fractures.
  • Describe the zones of a proximal base of the fifth metatarsal fracture.
  • Explain the treatment strategies for the different types of fifth metatarsal fractures.
  • Review the importance of interprofessional collaboration in the management of fifth metatarsal fractures.


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In support of improving patient care, StatPearls, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.


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American Board of Anesthesiology: This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

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on 10/18/2020

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Chinye O. on 3/8/2021

very good review

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Better instructions and an app

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Diagrams or X-rays at the beginning of the content would be helpful.

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The activity was very well presented. I was simply not the best student.

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Good course

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too many survey questions after already having to do reading and questions on top of busy days.

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So far, impressed.

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The case studies were more informative than the article regarding symptoms and treatment

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brian w. on 2/4/2024

Ronald R. on 2/5/2024

A diagram of boundaries of various zones would be helpful.

Jeffrey S. on 2/14/2024

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MARIUS T. on 3/18/2024

This article could have used a diagram of the fifth metacarpal. Lucky to have Google so I could get a visual.

Debra M. on 3/20/2024

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