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Foot & Ankle
intermediate
X-Type

Fifth Metatarsal Stress Fractures - Zones and Management

Metatarsal Fractures

A 19-year-old female ballet dancer presents with 6 weeks of progressive lateral foot pain. Radiographs demonstrate a transverse fracture at the tuberosity of the fifth metatarsal proximal to the 4-5 intermetatarsal articulation. There is minimal displacement. Regarding fifth metatarsal fractures and zone classification:

Mark each as TRUE or FALSE

A

Zone 1 (tuberosity) fractures occur proximal to the 4-5 intermetatarsal articulation and are typical...

B

Zone 2 (Jones) fractures occur at the metadiaphyseal junction extending INTO the 4-5 intermetatarsal...

C

Zone 3 stress fractures occur proximal to the 4-5 intermetatarsal articulation and have the best pro...

D

Zone 3 stress fractures occur distal to the 4-5 articulation in the proximal diaphysis; risk factors...

E

The Lawrence and Botte classification describes three anatomic zones; Zone 1 fractures are treated w...

Answer the questions to see explanations

Click T (True) or F (False) for each option