Guide wire placement for fifth metatarsal intra-medullary screw fixation: A technical tip

•It can be difficult to pass a guide wire across a partially occluded medullary canal.•A blunt angled guide wire can facilitate crossing the callus.•Good guidewire position will reduce surgical complications.

Treatment of fifth metatarsal fractures in elite athletes or delayed/non unions often requires operative fixation. However, this can cause technical difficulties and we present an operative tip to avoid complications is presented.