A removable plastic cast is also usually adequate for 'march' (stress) fractures of the second Metatarsal and rotational fractures of the fifth Metatarsal. However, stress fractures of the base of the fifth Metatarsal sometimes show a poor healing capacity. For this reason, many orthopaedic consultants now favour surgical fixation. A small incision is made on the outside border of the foot and a small screw is placed down the middle of the fractured bone. With this method a return to sporting activity is usually possible after 6 - 8 weeks.