Fifth metatarsal bone fracture is one of the most commonest fractures of the foot.
The decision for surgical or conservative approach is still inconclusive. Scoring
system, decision analysis model and classification system are established to weigh
between surgical and conservation approaches. Its unique anatomy and surgical
complication influence decision on optimal surgical approach. Therefore, the
present review attempts to look at factors that might influence decision making in
management of fifth metatarsal fracture.