Most metatarsal fractures, including most fifth metatarsal fractures, can be treated without surgery. Certain fractures involving the fifth metatarsal may require surgery. These include metaphyseal/diaphyseal fractures (Jone’s fractures) in high level athletes. Patients sustaining multiple metatarsal fractures may also require surgery.
If a patient requires surgery the post operative protocol will include a period of limited weight bearing while using crutches or a walker. this is typically 6 weeks. During this time patients will also use a CAM boot or similar device, but be allowed to remove it for range of motion exercises. After 6 weeks, most patients resume full weight bearing. Some people may then enter formal physical therapy to assist with rehabilitation.