Objective: There is considerable variability in the literature concerning the optimal treatment of fifth metatarsal fracture. The purpose of this study is to report the outcome of surgical fixation of fifth metatarsal fractures using Acutrak (R) screw in elite football players. Material and Method: Three cases of fifth metatarsal fracture in elite football players. The mean age was 24 years old (18-26 years). We treated three fifth metatarsal fractures in elite football players. The cases in our study consisted of one diaphyseal fifth metatarsal fracture and two Jones fractures. The fractures had been occurred during sports participation. We applied internal fixation using a percutaneous Acutrak (R) screw under local anesthesia with the aid of fluoroscopy. The patients were clinically and radiographically evaluated. Results: Clinic healing was obtained at 10 weeks postoperatively Radiographic consolidation occurred at 8 weeks postoperatively and the patients returned to pre-injury activity levels at 11 weeks postoperatively. No postoperative complication was seen. No skin irritation due to a headless screw of Acutrak (R) was observed. Conclusion: The result suggested that Acutrak (R) may be used in elite football players with fifth metatarsal fractures. In spite of factors such as ease of implementation, cost and resistance to bending also need to be considered.