The diagnosis, pathomechanics, time from injury to treatment, and optimal treatment of proximal fifth metatarsal fractures are topics of great debate. Use of the term “Jones fracture” to describe all such injuries in the orthopaedic literature and among treating physicians has added to the confusion, resulting in negative consequences for prognosis and appropriate treatment recommendations. Improved patient outcomes are dependent on correct classification of the fracture, appropriate treatment selection, and proper technique.