Conservative Treatment of the Fifth Metatarsal Bone Fractures in Professional Football Players Using Platelet-Rich Plasma

Foot Ankle Spec. 2022 Feb;15(1):62-66. doi: 10.1177/19386400211017368. Epub 2021 Jun 18.


Injuries of the metatarsal bones in football are relatively rare and in most cases are localized in the fifth metatarsal. The gold standard of the diagnosis of fractures in this area can be X-rays, which in most cases allows verifying the diagnosis. The treatment tactics depend on the localization of the fracture according to Lawrence and Botte's classification: 3 zones of localization are distinguished. Fractures located in zones 2 and 3 belong to a high-risk group due to delayed consolidation and nonunion and therefore athletes are most often treated with osteosynthesis using intramedullary screws. The minimal recovery time for this type of treatment is at least 8 weeks. This report describes 7 cases of the fifth metatarsal bone fractures, located in zones 2 and 3 in professional football players who were treated with an immobilization boot, cryotherapy, nutritional supplements of calcium and vitamin D, and local injections of platelet-rich plasma, which contains numerous growth factors. The deadline for returning to regular training activities was 43 to 50 days, and there was no relapse of damage within 6 months of follow-up.Levels of Evidence: Level of evidence 4: case report study.

Keywords: fifth metatarsal bone; football players; platelet-rich plasma; stress fracture.

Publication types

  • Case Reports

MeSH terms

  • Bone Screws
  • Conservative Treatment
  • Football*
  • Fractures, Bone*
  • Humans
  • Metatarsal Bones* / diagnostic imaging
  • Metatarsal Bones* / surgery
  • Platelet-Rich Plasma*
  • Retrospective Studies