Fifth metatarsal bone
The fifth metatarsal bone is a long bone in the foot, and is palpable along the distal outer edges of the feet. It is the second smallest of the five metatarsal bones. The fifth metatarsal is analogous to the fifth metacarpal bone in the hand
|Fifth metatarsal bone|
The fifth metatarsal. (Left.)
Bones of the right foot. Dorsal surface. Fifth metatarsal bone is the yellow bone farthest the right
|Latin||os metatarsale V|
|Anatomical terms of bone|
As with the four other metatarsal bones it can be divided into three parts; a base, body and head. The base is the part closest to the ankle and the head is closest to the toes. The narrowed part in the middle is referred to as the body (or shaft) of the bone. The bone is somewhat flat giving it two surfaces; the plantar (towards the sole of the foot) and the dorsal side (the area facing upwards while standing). These surfaces are rough for the attachment of ligaments. The bone is curved longitudinally, so as to be concave below, slightly convex above.
The base articulates behind, by a triangular surface cut obliquely in a transverse direction, with the cuboid; and medially, with the fourth metatarsal. The fifth metatarsal has a rough eminence on the lateral side of its base, known as the tuberosity or the styloid process. The plantar surface of the base is grooved for the tendon of the abductor digiti quinti.
The head articulates with the fifth proximal phalanx, the first bone in the fifth toe.
- A proximal diaphysis fracture is typically a stress fracture, commonly among athletes.
- A metaphysis fracture is also called a Jones fracture. Due to poor blood supply in this area, such a fracture sometimes does not heal and surgery is required.
- A tuberosity fracture is also called a pseudo-Jones fracture or a dancer's fracture. It is typically an avulsion fracture.
Normal anatomy that may simulate a fracture include mainly:
The fourth dorsal interosseus muscle originates from the medial side of shaft. The function of the muscle is to spread the toes.
The third Plantar interosseus muscle originates from the medial side of the base and shaft of the fifth metatarsal. The function of the muscle is to move the fourth toe medially and move the toes together.
|Fibularis tertius||Insertion||Dorsal side of the basis|
|Flexor digiti minimi brevis||Origin||Plantar surface of the base|
|Dorsal interossei IV||Origin||Medial side of the shaft|
|Plantar interossei III||Origin||Medial side of the base and shaft|
|Horizontal head of adductor hallucis||Origin||Deep transverse metatarsal ligament|
- Bojsen-Møller, Finn; Simonsen, Erik B.; Tranum-Jensen, Jørgen (2001). Bevægeapparatets anatomi [Anatomy of the Locomotive Apparatus] (in Danish) (12th ed.). p. 246. ISBN 978-87-628-0307-7.
- Gary A. Rosenberg and James J. Sferra (September–October 2000). "Treatment Strategies for Acute Fractures and Nonunions of the Proximal Fifth Metatarsal". Journal of the American Academy of Orthopaedic Surgeons. 8 (5): 332–338.CS1 maint: uses authors parameter (link)
- Bica D, Sprouse RA, Armen J (2016). "Diagnosis and Management of Common Foot Fractures". Am Fam Physician. 93 (3): 183–91. PMID 26926612.CS1 maint: multiple names: authors list (link)
- "5th Metatarsal". Emergency Care Institute, New South Wales. 2017-09-19.
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- Robert Silbergleit. "Foot Fracture". Medscape.com. Retrieved 19 October 2011.
- Robert Silbergleit. "Foot Fracture". Medscape.com. Retrieved October 19, 2011.
- Deniz, G.; Kose, O.; Guneri, B.; Duygun, F. (2014). "Traction apophysitis of the fifth metatarsal base in a child: Iselin's disease". Case Reports. 2014 (may14 4): bcr2014204687–bcr2014204687. doi:10.1136/bcr-2014-204687. ISSN 1757-790X. PMC 4025211.
- Nwawka, O. Kenechi; Hayashi, Daichi; Diaz, Luis E.; Goud, Ajay R.; Arndt, William F.; Roemer, Frank W.; Malguria, Nagina; Guermazi, Ali (2013). "Sesamoids and accessory ossicles of the foot: anatomical variability and related pathology". Insights into Imaging. 4 (5): 581–593. doi:10.1007/s13244-013-0277-1. ISSN 1869-4101. PMC 3781258.
- Bojsen-Møller, Finn; Simonsen, Erik B.; Tranum-Jensen, Jørgen (2001). Bevægeapparatets anatomi [Anatomy of the Locomotive Apparatus] (in Danish) (12th ed.). pp. 300–301. ISBN 978-87-628-0307-7.
- Bojsen-Møller, Finn; Simonsen, Erik B.; Tranum-Jensen, Jørgen (2001). Bevægeapparatets anatomi [Anatomy of the Locomotive Apparatus] (in Danish) (12th ed.). pp. 364–367. ISBN 978-87-628-0307-7.
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