A separated fragment at the 5th metatarsal base usually needs surgical fixation (screw) for proper healing and to avoid non-union. Cast alone may not be enough if there is significant displacement. An orthopedic surgeon needs to evaluate your X-ray and decide.

Based on the X-ray, this appears to be a displaced fracture at the base of the fifth metatarsal. While some fractures in this region can heal with a cast or boot, a displaced fracture may require surgical fixation to restore alignment, provide stable compression, and reduce the risk of delayed or non-union. The final decision depends on the exact fracture type, degree of displacement, and clinical examination.

This doesn’t look like a recent fracture?can I know when did this happen? This needs fixation

Go for surgery as it is quite displaced and may not heal with plaster

This is pseudo jones fracture , in Xray the fragment looks displaced , slab/ cast will not help in your case and may cause non union of the fracture ,surgery is best.

For your case surgical treatment is better than cast.

Based on patient profile the decision of management has to be taken, ask the surgeon and get to know the pros and cons of both modalities, analyse the options and choose accordingly

Surgical treatment is better

Hey , It is called jones fracture and it needs to be fixed . Can’t be managed conservatively with slab or cast as the fractured segment is displaced . If it would have been in displaced then we could have tried a conservative approach .