Fractures of the proximal fifth metatarsal

Most of the controversy regarding fractures of the fifth metatarsal relates to injuries sustained in the proximal third of the bone. This article serves as an overview of proximal fifth metatarsal fractures, covering the cause, mechanisms of injury, and pertinent anatomy of this injury. The author proposes a classification scheme for fractures of the fifth metatarsal and gives some historical and practical detail with regard to the treatment of each fracture type.