With this approach, we only need to make a couple of small incisions in the foot. Operative fixation of the fracture is done with a single screw placed inside the metatarsal bone. In most cases, we use a minimally invasive type of surgery called arthroscopy. Surgical management of a Jones Fracture is increasingly common due to the high non-union (poor healing) rate and the long recovery from non-operative care. This treatment is sufficient for 75 percent of mild Jones fractures. If the fracture does not heal with conservative treatment, surgical intervention is necessary to stabilize the fracture. If the Jones fracture is not significant, it is typically treated with a cast, splint, or walking boot for six to eight weeks. Healing normally happens within 6-8 weeks, but could be longer depending on the severity of the fracture and how long the fracture has been present. Weight bearing is progressively implemented with decrease in pain. Due to conflicting results, the most appropriate treatment method remains unclear. Some studies have assessed immediate weight bearing following a Jones fracture.
Swelling and bruising are rarely present, but if they are, can be seen on the outside (lateral) portion of the foot.Ĭonservative treatment of a Jones Fracture is done in a short leg cast and towards the end of treatment, graduated to a walking boot. Classically, treatment consists of weight bearing restrictions in a cast or surgical fixation.May be painful with weight-bearing ankle motion, such as during quick changes in directions some athletes do not experience pain with weight bearing.Pain located at the base of the fifth metatarsal (lateral or outside aspect of foot). A Jones fracture involves a fracture to the fifth metatarsal, which is the long bone located on the outer part of the foot.A twisting and inversion (turning the foot inward) motion.Although Jones Fractures are less common than avulsion fractures, they are more difficult to treat due to a less than optimal blood supply in that area of the foot. Other fractures that can occur at this location include stress fractures, caused by repetitive stress, or avulsion fractures, where the muscle/tendon that attaches on that bone pulls off a piece of bone. Jones Fractures are caused by overuse, repetitive stress, or trauma. A true Jones Fracture occurs in a certain region in the base of the fifth metatarsal. A Jones Fracture can either be a stress fracture (a small hairline break that occurs due to repetitive stress) or an acute (sudden) fracture.
Several types of fractures can occur in this area, and some require more treatment than others. What is a Jones (5th Metatarsal) Fracture?Ī Jones (5th Metatarsal) Fracture is a fracture of the base of the fifth metatarsal (long bone of the forefoot).
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