Authors of section


Khairul Faizi Mohammad, Brad Yoo

Executive Editors

Markku T Nousiainen, Richard Buckley

Open all credits

Proximal extraarticular fractures of the 5th metatarsal (march fracture)


These are proximal shaft fractures that are entirely extraarticular. They often are stress fractures with a different mechanism than the proximal articular or proximal extraarticular avulsion fractures.

Proximal extraarticular fracture of the 5th metatarsal

Clinical signs

The clinical picture includes swelling, ecchymosis, and pain over the base of the 5th metatarsal.


Conventional radiographs of the foot (AP and lateral oblique views) are sufficient for diagnosis and treatment.


Mechanism of injury

This fracture is known as the "march fracture" because of the occurrence in new military recruits on enforced long marches.

This fracture is insidious in nature and not an acute event.

Proximal articular fractures of the 5th metatarsal (Jones variant)

Associated injuries

There are typically no associated injuries with these fractures.

Go to indication