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OrthoVellum

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Foot & Ankle
intermediate
X-Type

Metatarsal Stress Fractures - Second Metatarsal, Fifth Metatarsal Zones and Return to Sport

Foot Disorders

A 24-year-old professional soccer player presents with gradual onset lateral foot pain over 3 weeks. He describes increased training intensity before the season. Examination reveals tenderness over the proximal fifth metatarsal with pain on resisted eversion. X-rays show a transverse fracture line at the junction of the diaphysis and metaphysis of the fifth metatarsal. MRI confirms a stress fracture with surrounding bone marrow edema. The team physician discusses the classification, nonunion risk, and whether surgical fixation would allow faster return to sport. Regarding metatarsal stress fractures:

Mark each as TRUE or FALSE

A

The SECOND METATARSAL is the most common site of metatarsal stress fracture (often called "march fra...

B

Fifth metatarsal has THREE ZONES: ZONE 1 (tuberosity avulsion - peroneus brevis/lateral band); ZONE ...

C

The FOURTH metatarsal is the most common stress fracture site; fifth metatarsal has only ONE zone; J...

D

JONES FRACTURE (Zone 2) treatment: In ATHLETES, primary INTRAMEDULLARY SCREW fixation is recommended...

E

ZONE 1 tuberosity fractures have excellent healing potential (metaphyseal blood supply) and are trea...

Answer the questions to see explanations

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