If trees dont get enough water, they will shrivel up and die. Even though our bones look like rocks, they are more like trees that only stay strong when they have healthy roots. If the blood supply to a bone is also injured when the bone breaks, then the bone cannot heal because it cannot get the nutrients it needs. Our body can only fill in the crack with new bone when these nutrients are delivered (in the same way that you can only build a house if the supplies are delivered). So heres the situation: A broken bone heals with nutrients and growth factors delivered to the bone via our bloodstream. Its like saying: The squeaky wheel gets the grease. Jones and other orthopedic doctors? This bone doesnt heal like the other metatarsal bones, its a problem child, and so it often requires special treatment. So what makes the 5th metatarsal bone so special that it gets so much attention from Dr. Its also a very important bone of the foot because its very mobile an so our muscles can make small adjustments to help maintain balance. The 5th metatarsal connects your pinky toe to the rest of your foot, and this is the bone we talk about here. The 'forefoot' has 5 bones (called metatarsals) which connect the toes to the 'midfoot'. Your toes each have 3 small bones (except the big toe which only has 2) and as you go toward your ankle the bones get bigger and bigger. So your foot has a lot of bones, 29 total. To better understand the injury lets quickly review our the anatomy of our foot. Jones) who first wrote about the fracture after sustaining the injury while dancing. It got the name "Jones fracture" for the doctor (Dr. More specifically, the break occurs along the middle and outside portion of the foot. The screw can be removed if it causes pain in the future.A Jones Fracture, aka a 5th metatarsal fracture, is a type of broken foot. Operative fixation of the fracture is done with a single screw placed inside the metatarsal bone. 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. If the fracture does not heal with conservative treatment, surgical intervention is necessary to stabilize the fracture. 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. 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.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 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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