Metatarsal fractures account for almost 50% of all foot fractures; the most frequent trauma mechanism for central metatarsal fractures is direct trauma. Care should be taken when evaluating patients with higher energy accidents, as they are often associated with serious soft-tissue damage and adjacent joint injuries, such as Lisfranc injuries. Malunions on the axial plane (varus/valgus) are usually better tolerated than the ones on the coronal plane, especially plantar flexion deformity. The treatment aim is to reduce the pain and improve gait function. The aim of this article is to discuss the lateral metatarsal malunion related to trauma.