Metatarsal fractures are usually due to direct trauma. Often they are part of the Lisfranc fracture-dislocation spectrum.

A	AP and oblique radiographs of the foot. These show a minimally comminuted fracture of the distal aspect of the second metatarsal.
B	Oblique radiograph of the foot shows a fracture of the distal apsect of the fifth metatarsal.

Links to online textbooks:

• Wheeless' Orthopedics: midfoot/forefoot fracture menu

Links to online cases:

• Netmedicine.com
• University of Hawaii

References:

• Pendarvis JA, Mandracchia VJ, Haverstock BD, Granquist JC: A new fixation technique for metatarsal fractures Clin Podiatr Med Surg. 1999 Oct;16(4):643-57.           [See related articles]
• Hockenbury RT: Forefoot problems in athletes Med Sci Sports Exerc. 1999 Jul;31(7 Suppl):S448-58.           [See related articles]