Search
Jones fracture
- Fracture of proximal metaphyseal 5th metatarsal
- located w/in 1.5 cm distal to tuberosity of 5th metatarsal
- Prone to malunion
- Watershed area (poor blood supply)
- Under tension from multiple tendons
- Treatment
- Immobilize with posterior-mold splint
- Non-weight bearing - crutches
- Prompt orthopedic evaluation
- Some cases are managed with non-weight bearing casts
- Others are repaired operatively.
- Delayed jones fractures with malunion will require operative repair.
- Distinguish from pseudo-jones fracture (dancers fracture)
- metatarsal styloid avulsion fracture, generally does not require operative repair
- much more common than true Jones fracture.
Presented with persistant foot pain from
Jones fracture malunion.
References
http://www.wheelessonline.com/ortho/jones_fracture
http://www.wheelessonline.com/ortho/avulsion_frx_of_base_of_5th_metatarsal