Jones fracture foot7/9/2023 The healing period can range from 6 weeks to a few months. Often, this will involve an individual wearing a non-weightbearing cast or boot or using crutches to assist with walking. In some cases, an orthopedic surgeon may initially recommend treating a Jones fracture without surgery. Treatment will depend on several factors, including the: Sudden acute injuries of the metatarsals are common after a sudden impact or severe twist of the foot. As these bones get much more use than other bones, it is easy to injure them through overuse. The metatarsal bones help people balance while standing and walking. It bulges slightly at its base, while the other metatarsals do not. It is slightly different from the other metatarsal bones. The fifth metatarsal is the metatarsal on the outside of the foot that connects the ankle with the little toe. The metatarsal have a number from one to five, from the big toe to the small toe. Each metatarsal bone has a base located next to the heel, a shaft, a neck, and a head. The metatarsal bones are the long bones of the forefoot that connect the ankle (cuboid and cuneiform bones) with the toes (phalanges). However, as the area receives less blood than other regions of the foot, it can make healing difficult. Typically, this type of fracture results from stress on the bone caused by repeated motion, but it may also result from overuse or a sudden acute injury. The fracture occurs in the area between the base (metaphysis) and shaft (diaphysis) of the fifth metatarsal, known as the metaphyseal-diaphyseal junction. The foot and ankle surgeon will determine the type of procedure that is best suited to the individual patient.Share on Pinterest NICK VEASEY/SCIENCE PHOTO LIBRARY/Getty ImagesĪ Jones fracture is a common foot injury that describes a fracture at the base of the fifth metatarsal, which is the long bone that runs along the outside of the foot from the smallest toe to the ankle. If the injury involves a displaced bone, multiple breaks, or has failed to adequately heal, surgery may be required. Bone stimulation, most commonly used for Jones fractures, may be used as part of the treatment or following an inadequate response to immobilization. A pain-free external device is used to speed the healing of some fractures. Crutches may also be needed to avoid placing weight on the injured foot. Depending on the severity of the injury, the foot is kept immobile with a cast, cast boot, or stiff-soled shoe. The foot and ankle surgeon may use one of these non-surgical options for treatment of a fifth metatarsal fracture: Elevation: The foot should be raised slightly above the level of your heart to reduce swelling.Compression: An elastic wrap should be used to control swelling.Use ice for 20 minutes and then wait at least 40 minutes before icing again. Ice: Apply an ice pack to the injured area, placing a thin towel between the ice and the skin.Until you are able to see a foot and ankle surgeon, the “ R.I.C.E.” method of care should be performed: Because a Jones fracture sometimes does not show up on initial x-rays, additional imaging studies may be needed. The foot will be examined, with the doctor gently pressing on different areas of the foot to determine where there is pain. To arrive at a diagnosis, the surgeon will ask how the injury occurred or when the pain started. Pain, swelling, and tenderness on the outside of the footĪnyone who has symptoms of a fifth metatarsal fracture should see a foot and ankle surgeon as soon as possible for proper diagnosis and treatment. Examples include mid-shaft fractures, which usually result from trauma or twisting, and fractures of the metatarsal head and neck.Īvulsion and Jones fractures have the same signs and symptoms. Other types of fractures can occur in the fifth metatarsal. They are less common and more difficult to treat than avulsion fractures. Jones fractures are caused by overuse, repetitive stress, or trauma. A Jones fracture can be either a stress fracture (a tiny hairline break that occurs over time) or an acute (sudden) break. Jones fractures occur in a small area of the fifth metatarsal that receives less blood and is therefore more prone to difficulties in healing. Avulsion fractures are often overlooked when they occur with an ankle sprain. This type of fracture is the result of an injury in which the ankle rolls. In an avulsion fracture, a small piece of bone is pulled off the main portion of the bone by a tendon or ligament. Two types of fractures that often occur in the fifth metatarsal are: Fractures (breaks) are common in the fifth metatarsal – the long bone on the outside of the foot that connects to the little toe.
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