Metatarsal fractures represent a significant proportion of foot injuries. Various patterns of metatarsal injuries exist and the resultant impact on function and quality of life is not negligible. This in fact reflected the attention given to these fractures in the medical literature. Conventionally, a complete clinical and radiological assessment is needed in order to guide management and tailor treatment options to the clinical and functional needs of the individual metatarsal fracture. This article provides a thorough review of all metatarsal fractures; it examines the latest literature especially in relation to management of distinct types of metatarsal fractures. Special attention is given to the first metatarsal due to its important implication in stable functionality of the first ray and foot. In relation to the higher incidence of fifth metatarsal fractures this article provides a broader review of their management.