MSKMRI on Instagram: "📌 Understanding the Difference: Fifth Metatarsal Apophysis vs. Fracture 1. Why This Distinction Matters The fifth metatarsal apophysis is a normal secondary ossification center in children and adolescents. A fracture, in contrast, is a pathological break that follows trauma and usually requires treatment. Key differences include age, orientation on imaging, clinical context, and soft-tissue findings. 2. Age and Clinical Context Apophysis: Appears in skeletally immature pat